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."