1. Transfer status is a risk factor for increased in-hospital mortality in patients with diverticular hemorrhage
- Author
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Reza Kermani, Alan W. Hackford, Haisar Dao, Justin Lee, and Peter E. Miller
- Subjects
Male ,Patient Transfer ,medicine.medical_specialty ,Multivariate analysis ,medicine.medical_treatment ,Risk Factors ,Internal medicine ,Acute care ,medicine ,Humans ,Hospital Mortality ,Risk factor ,Prospective cohort study ,Diverticulitis ,Aged ,Colectomy ,business.industry ,Mortality rate ,Gastroenterology ,Hepatology ,United States ,Surgery ,Multivariate Analysis ,Diverticular disease ,Female ,Gastrointestinal Hemorrhage ,business - Abstract
Gastrointestinal tract hemorrhage is a common problem accounting for approximately 1 % of hospital admissions. It is estimated that one third of the episodes of lower gastrointestinal hemorrhage are secondary to diverticular disease. Inter-institutional transfer has been associated with delay in care and increased in-hospital mortality. We hypothesized that patients with diverticular hemorrhage that were transferred from an acute care hospital to tertiary care institutions have increased in-hospital morbidity and mortality when compared to primarily admitted patients. We performed a retrospective analysis of the Nationwide Inpatient Sample for the year 2008. Patients with a primary discharge diagnosis of diverticular hemorrhage were selected. Multivariate logistic regression was used to identify the relationship between transfer status and in-hospital mortality. A total of 99,415 hospitalizations for diverticular hemorrhage were identified. Transferred patients had higher in-hospital mortality rates compared to primarily admitted patients (3.5 vs. 1.8 %, p
- Published
- 2012