Annual Burden and Costs of Hospitalization for High-Need, High-Cost Patients With Chronic Gastrointestinal and Liver Diseases.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Nghia H NguyenSiddharth Singh

Abstract

We estimated the annual burden and costs of hospitalization in patients with chronic gastrointestinal and liver diseases, and identified characteristics of high-need, high-cost patients, in a nationally representative sample. Using Nationwide Readmissions Database 2013, we identified patients with at least 1 hospitalization between January and June 2013, and a diagnosis of inflammatory bowel diseases (IBDs), chronic liver diseases (CLDs), functional gastrointestinal disorders (FGIDs), gastrointestinal hemorrhage, or pancreatic diseases, with 6 months or more of follow up. We calculated days spent in hospital/month and estimated costs of the entire cohort, and identified characteristics of high-need, high-cost patients (top decile of days spent in hospital/month). Patients with IBD (n = 47,402), CLDs (n = 376,810), FGIDs (n = 351,583), gastrointestinal hemorrhage (n = 190,881), or pancreatic diseases (n = 98,432), hospitalized at least once, spent a median of 6 to 7 days (interquartile range, 3-14 d) in the hospital each year (total for all diseases). Compared to patients in the lowest decile (median, 0.13-0.14 d/mo spent in the hospital), patients in the highest decile spent a median 3.7-4.1 days/month in hospital (total for al...Continue Reading

Citations

Jul 20, 2019·Expert Review of Clinical Immunology·Ariela Holmer, Siddharth Singh
Nov 13, 2018·Inflammatory Bowel Diseases·Zunirah AhmedMaged K Rizk
Apr 6, 2019·Current Treatment Options in Gastroenterology·Jad A Baki, Elliot B Tapper
Jun 13, 2020·United European Gastroenterology Journal·Andrew WisniewskiUNKNOWN the Saint-Antoine IBD network
Sep 25, 2019·International Journal of Environmental Research and Public Health·Lu LiZhengdong Zhong
Nov 25, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Mohamed Tausif SiddiquiDonald F Kirby
Jun 12, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Nghia H NguyenSiddharth Singh
Mar 28, 2021·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Carlos Lago-HernandezSiddharth Singh
Jun 15, 2021·Mayo Clinic Proceedings·Carlos Lago-HernandezSiddharth Singh
Jul 6, 2021·Canadian Journal of Gastroenterology & Hepatology·Tanya BarberLee A Green
Jun 20, 2021·Gastroenterology·Maximilian BaumgartnerChristoph Gasche
Sep 8, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Salva N BalbaleBruce L Lambert
May 18, 2021·The American Journal of Gastroenterology·Christopher MaSiddharth Singh
Nov 10, 2021·The American Journal of Gastroenterology·Nghia H NguyenSiddharth Singh

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