@article{Jeyarajah:2009,
author = {Jeyarajah, S and Faiz, O and Bottle, A and Aylin, P and Bjarnason, I and Tekkis, PP and Papagrigoriadis, S},
journal = {Alimentary pharmacology & therapeutics},
pages = {1171--1182},
title = {Diverticular disease hospital admissions are increasing, with poor outcomes in the elderly and emergency admissions},
url = {http://www.ncbi.nlm.nih.gov/pubmed/19681811},
volume = {30},
year = {2009}
}

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TY  - JOUR
AB  - BACKGROUND: Diverticular disease has a changing disease pattern with limited epidemiological data. AIM: To describe diverticular disease admission rates and associated outcomes through national population study. METHODS: Data were obtained from the English 'Hospital Episode Statistics' database between 1996 and 2006. Primary outcomes examined were 30-day overall and 1-year mortality, 28-day readmission rates and extended length of stay (LOS) beyond the 75th percentile (median inpatient LOS = 6 days). Multiple logistic regression analysis was used to determine independent predictors of these outcomes. RESULTS: Between the study dates 560 281 admissions with a primary diagnosis of diverticular disease were recorded in England. The national admission rate increased from 0.56 to 1.20 per 1000 population/year. 232 047 (41.4%) were inpatient admissions and, of these, 55 519 (23.9%) were elective and 176 528 (76.1%) emergency. Surgery was undertaken in 37 767 (16.3%). The 30-day mortality was 5.1% (n = 6735) and 1-year mortality was 14.5% (n = 11 567). The 28-day readmission rate was 9.6% (n = 21 160). Increasing age, comorbidity and emergency admission were independent predictors of all primary outcomes. CONCLUSIONS: Diverticular disease admissions increased over the course of the study. Patients of increasing age, admitted as emergency and significant comorbidity should be identified, allowing management modification to optimize outcomes.
AU  - Jeyarajah,S
AU  - Faiz,O
AU  - Bottle,A
AU  - Aylin,P
AU  - Bjarnason,I
AU  - Tekkis,PP
AU  - Papagrigoriadis,S
EP  - 1182
PY  - 2009///
SN  - 1365-2036
SP  - 1171
TI  - Diverticular disease hospital admissions are increasing, with poor outcomes in the elderly and emergency admissions
T2  - Alimentary pharmacology & therapeutics
UR  - http://www.ncbi.nlm.nih.gov/pubmed/19681811
VL  - 30
ER  - 

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