Diverticular disease has a changing disease pattern with limited epidemiological data.
Dr Jeyarajah and colleagues from the United Kingdom described diverticular disease admission rates and associated outcomes through national population study.
The team obtained Data from the English 'Hospital Episode Statistics' database between 1996 and 2006.
Primary outcomes examined were 30-day overall and 1-year mortality, 28-day readmission rates and extended length of stay beyond the 75th percentile.
|1-year mortality was 15%|
|Alimentary Pharmacology & Therapeutics|
Multiple logistic regression analysis was used to determine independent predictors of these outcomes.
The researchers recorded 560,281 admissions with a primary diagnosis of diverticular disease in England.
The national admission rate increased from 0.6 to 1.2 per 1000 population per year.
The research team noted that 41% were inpatient admissions and, of these, 24% were elective, and 76% emergency.
Surgery was undertaken in 16%.
The 30-day mortality was 5%, and 1-year mortality was 15%.
The 28-day readmission rate was 10%.
Increasing age, comorbidity and emergency admission were independent predictors of all primary outcomes.
Dr Jeyarajah's team conclded, “Diverticular disease admissions increased over the course of the study.”
“Patients of increasing age, admitted as emergency and significant comorbidity should be identified, allowing management modification to optimize outcomes.”