Authors:

Ali A Aalam

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Inflammatory Bowel Disease (IBD) poses a major public health challenge in the US. The Emergency Department (ED) often acts as a safety net for managing acute symptoms an d severe complications in IBD patients. Analyzing ED visits and inpatient admission trends is crucial for resource allocation, enhancing patient outcomes, and informing public hea lth policy. A retrospective cohort study analyzed data from the Nationwide Emerg ency Department Sample (NEDS), examining 1.3 billion ED visits across 39 state s and Washington D.C. from 2012 to 2021. The research focused on trends in hospital admi ssions of IBD patients from ED visits, considering those with and without major complicati ons and comorbidities. Odds ratios were used to assess trends, and a linear regressi on model predicted IBD admissions from 2022 to 2027. Patients included had primary or secondary diagnoses of Crohn's Disease or Ulcerative Colitis, identified by ICD 9 and ICD 10 codes. The study involved patients aged 0 to 90 years, with an average age of 41. Wome n comprised 55% of the participants. The ethnic composition was primarily White (59.4%), followed by African Americans (17.3%), Hispanics (13.1%), Asians/Pacific Islanders ( 6.5%), Native Americans (2.5%), and others (1.2%). Medicaid was the most common insur ance, followed by private insurance and Medicare. From 2012 to 2021, 139,770 patient s with IBD were admitted after visiting the ED, with annual admissions averaging 13,977. De spite a decrease in overall ED visits for gastrointestinal diseases, IBD admissions increa sed from 2.09% in 2012 to 3.3% in 2021, in relation to overall ED visits. IBD patients with comorbidities consistently had higher odds of ED visits compared to those with major complications or no complications. Predictions indicate a rise in inpatient IBD admissi ons: 15,940 in 2022, increasing annually to 17,725 by 2027.

Source:

University of Florida / Ali A Aalam, Nofel Iftikhar, Naueen A Chaudhry, Tomas Potlach, Ellen M / 2024

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Co-authors:

Ali A Aalam