Predictors of Early Readmissions in Hospitalized Patients With Gastroparesis : A Nationwide Analysis
BACKGROUND/AIMS: Gastroparesis is a chronic gastrointestinal disorder that frequently presents with symptoms that are difficult to manage, necessitating frequent hospitalizations. We sought to determine the predictors of early readmission due to gastroparesis based on etiology.
METHODS: We identified all adults discharged with a principal diagnosis of gastroparesis after hospitalization from the 2014 Nationwide Readmission Database. We compared etiology wise (diabetes, post-surgical, and idiopathic) early readmission. Multivariate regression analyses were performed to identify significant predictors of 30-day readmission.
RESULTS: A total of 12 689 patients were identified, 30.7% diabetic, 2.6% post-surgical, and 66.7% were idiopathic. Patients with diabetic gastroparesis were more likely to be readmitted within 30 days than idiopathic (adjusted odds ratio [aOR], 0.81; 95% confidence interval [CI], 0.69-0.94) and post-surgical gastroparesis (aOR, 0.58; 95% CI, 0.34-0.98). Pyloroplasty was associated with less likelihood of 30-day readmission (aOR, 0.45; 95% CI, 0.20-0.97). In addition, male gender (aOR, 1.18; 95% CI, 1.02-1.37), modified Elixhauser comorbidity score ≥ 3 (aOR, 1.38; 95% CI, 1.18-1.61), chronic pain syndrome (aOR, 1.41; 95% CI, 1.11-1.78), younger (18-64 years) age (aOR, 1.64; 95% CI, 1.34-2.00), need for percutaneous endoscopic gastrostomy/jejunostomy tube (aOR, 2.06; 95% CI, 1.21-3.52), and need for total parenteral nutrition (aOR, 1.70; 95% CI, 1.24-2.35) were associated with increased risk of 30-day readmission.
CONCLUSION: s One in 5 patients was readmitted with gastroparesis within 30 days. In the diabetic group, diabetes-related complications contributed to readmissions than gastroparesis. Pyloroplasty is associated with reduced early hospital readmission. Prospective studies are needed for validation of these results.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2021 |
---|---|
Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
---|---|
Enthalten in: |
Journal of neurogastroenterology and motility - 27(2021), 3 vom: 30. Juli, Seite 408-418 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Pavurala, Ravi B [VerfasserIn] |
---|
Links: |
---|
Themen: |
Diabetes |
---|
Anmerkungen: |
Date Revised 24.04.2022 published: Print Citation Status PubMed-not-MEDLINE |
---|
doi: |
10.5056/jnm20105 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM327576219 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM327576219 | ||
003 | DE-627 | ||
005 | 20231225201104.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2021 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.5056/jnm20105 |2 doi | |
028 | 5 | 2 | |a pubmed24n1091.xml |
035 | |a (DE-627)NLM327576219 | ||
035 | |a (NLM)34210906 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Pavurala, Ravi B |e verfasserin |4 aut | |
245 | 1 | 0 | |a Predictors of Early Readmissions in Hospitalized Patients With Gastroparesis |b A Nationwide Analysis |
264 | 1 | |c 2021 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 24.04.2022 | ||
500 | |a published: Print | ||
500 | |a Citation Status PubMed-not-MEDLINE | ||
520 | |a BACKGROUND/AIMS: Gastroparesis is a chronic gastrointestinal disorder that frequently presents with symptoms that are difficult to manage, necessitating frequent hospitalizations. We sought to determine the predictors of early readmission due to gastroparesis based on etiology | ||
520 | |a METHODS: We identified all adults discharged with a principal diagnosis of gastroparesis after hospitalization from the 2014 Nationwide Readmission Database. We compared etiology wise (diabetes, post-surgical, and idiopathic) early readmission. Multivariate regression analyses were performed to identify significant predictors of 30-day readmission | ||
520 | |a RESULTS: A total of 12 689 patients were identified, 30.7% diabetic, 2.6% post-surgical, and 66.7% were idiopathic. Patients with diabetic gastroparesis were more likely to be readmitted within 30 days than idiopathic (adjusted odds ratio [aOR], 0.81; 95% confidence interval [CI], 0.69-0.94) and post-surgical gastroparesis (aOR, 0.58; 95% CI, 0.34-0.98). Pyloroplasty was associated with less likelihood of 30-day readmission (aOR, 0.45; 95% CI, 0.20-0.97). In addition, male gender (aOR, 1.18; 95% CI, 1.02-1.37), modified Elixhauser comorbidity score ≥ 3 (aOR, 1.38; 95% CI, 1.18-1.61), chronic pain syndrome (aOR, 1.41; 95% CI, 1.11-1.78), younger (18-64 years) age (aOR, 1.64; 95% CI, 1.34-2.00), need for percutaneous endoscopic gastrostomy/jejunostomy tube (aOR, 2.06; 95% CI, 1.21-3.52), and need for total parenteral nutrition (aOR, 1.70; 95% CI, 1.24-2.35) were associated with increased risk of 30-day readmission | ||
520 | |a CONCLUSION: s One in 5 patients was readmitted with gastroparesis within 30 days. In the diabetic group, diabetes-related complications contributed to readmissions than gastroparesis. Pyloroplasty is associated with reduced early hospital readmission. Prospective studies are needed for validation of these results | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Diabetes | |
650 | 4 | |a Diabetes mellitus | |
650 | 4 | |a Gastroparesis | |
650 | 4 | |a Patients readmission | |
700 | 1 | |a Stanich, Peter P |e verfasserin |4 aut | |
700 | 1 | |a Krishna, Somashekar G |e verfasserin |4 aut | |
700 | 1 | |a Guturu, Praveen |e verfasserin |4 aut | |
700 | 1 | |a Hinton, Alice |e verfasserin |4 aut | |
700 | 1 | |a Conwell, Darwin L |e verfasserin |4 aut | |
700 | 1 | |a Balasubramanian, Gokulakrishnan |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Journal of neurogastroenterology and motility |d 2010 |g 27(2021), 3 vom: 30. Juli, Seite 408-418 |w (DE-627)NLM198696760 |x 2093-0879 |7 nnns |
773 | 1 | 8 | |g volume:27 |g year:2021 |g number:3 |g day:30 |g month:07 |g pages:408-418 |
856 | 4 | 0 | |u http://dx.doi.org/10.5056/jnm20105 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 27 |j 2021 |e 3 |b 30 |c 07 |h 408-418 |