Faculty Collaboration Database

Acute vascular insufficiency of intestine: incidence highest in summer, outcomes worst in winter. Int J Colorectal Dis 2019 Dec;34(12):2059-2067

Date

11/11/2019

Pubmed ID

31707559

DOI

10.1007/s00384-019-03421-z

Scopus ID

2-s2.0-85074847018 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

BACKGROUND: The incidence of acute vascular insufficiency of intestine (AVII) is on the rise in the USA and is associated with significant morbidity and mortality. Seasonal variations have been observed in the onset of several gastrointestinal diseases. It is thus far unknown whether the incidence, in-hospital mortality rates, and length of hospital stay (LOS) of AVII vary in different seasons.

AIMS: The aims of this study were to study the seasonal variations in the (1) incidence, (2) in-hospital mortality, and (3) LOS of AVII in the USA.

METHODS: We used the Nationwide Inpatient Sample to identify patients aged ≥ 18 years hospitalized from the years 2000-2014. We used the Edwards recognition with estimation of cyclic trend method to study the seasonal variation of AVII hospitalizations and z test to compare the seasonal incidences (peak-to-low ratio), mortalities, and LOS.

RESULTS: A total of 1,441,447 patients were hospitalized with AVII (0.3% of all hospitalizations). Patients with AVII were older (69.0 ± 0.1 vs 56.9 ± 0.1) and more commonly females (65.4% vs 35.5%) than patients without AVII (p < 0.001). The incidence of AVII increased through the summer to peak in September (peak/low ratio 1.028, 95% CI 1.024-1.033, p < 0.001). Patients with AVII hospitalized in winter had the highest mortality (17.3%, p < 0.001) and LOS (9.2 ± 0.7 days, p < 0.001).

CONCLUSIONS: The incidence of AVII in the USA peaks in late summer. The in-hospital mortality rates and LOS associated with AVII are the highest in winter. Physicians could be cognizant of the seasonal variations in the incidence, in-hospital mortality, and LOS of AVII.

Author List

Jehangir A, Dhital R, Qureshi A, York EP

Author

Anam Qureshi MBBS Assistant Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Colitis, Ischemic
Databases, Factual
Female
Hospital Mortality
Humans
Incidence
Intestines
Length of Stay
Male
Mesenteric Ischemia
Middle Aged
Patient Admission
Risk Assessment
Risk Factors
Seasons
Time Factors
United States