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News

Hospital-acquired conditions are associated with worse outcomes in Crohn’s disease

The latest issue of the Digestive Diseases & Sciences examines hospital-acquired conditions and the association with worse outcomes in Crohn’s disease-related hospitalizations.

News image

Crohn’s disease is a chronically relapsing condition that frequently requires hospitalization.

In 2008, the Centers for Medicare and Medicaid Services selected ten conditions that were deemed healthcare-acquired conditions.

Costs related to healthcare-acquired conditions are not reimbursed as they are considered to be preventable.

Dr Cheng Zhang and colleagues from Columbus determined the prevalence and impact of healthcare-acquired conditions on hospital outcomes of hospitalized Crohn’s disease patients.

The researchers found a cross-sectional study using data from the Nationwide Inpatient Sample between 2007 and 2011 with an extended time frame between 2002 and 2013 to specifically evaluate the prevalence of healthcare-acquired conditions.

Crohn’s disease patients with healthcare-acquired conditions had higher hospital mortality
Digestive Diseases & Sciences

healthcare-acquired conditions-related hospitalizations and healthcare-acquired conditions were identified using International Classification of Diseases, Ninth revision, Clinical modification codes.

The trend of healthcare-acquired conditions between 2002 and 2013 was assessed using a Cochran–Armitage test.

Primary outcomes, including hospital mortality, length of stay, and hospital charges, were analyzed using univariate and multivariate analyses.

The team noted that the prevalence of healthcare-acquired conditions initially increased between 2002 and 2008, remained stable between 2008 and 2011, than significantly decreased from 2011 to 2013.

The researchers found that Crohn’s disease patients with healthcare-acquired conditions had higher hospital mortality, prolonged length of stay, and higher hospital charges compared to patients without healthcare-acquired conditions.

Dr Zhang's team concludes, "The prevalence of healthcare-acquired conditions among hospitalized Crohn’s disease patients initially increased from 2002 to 2008."

"However, rates began to decrease between 2011 and 2013."

"In addition, healthcare-acquired conditions were associated with worse healthcare outcomes in hospitalized Crohn’s disease patients."

Dig Dis Sci 2017: 62(6); 1621–1627
05 June 2017

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