Journal article
Acute vascular insufficiency of intestine: incidence highest in summer, outcomes worst in winter
International journal of colorectal disease, v 34(12), pp 2059-2067
01 Dec 2019
PMID: 31707559
Featured in Collection : UN Sustainable Development Goals @ Drexel
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-hospitalmortality, and LOS of AVII.
Metrics
Details
- Title
- Acute vascular insufficiency of intestine: incidence highest in summer, outcomes worst in winter
- Creators
- Asad Jehangir - Temple UniversityRashmi Dhital - Reading HospitalAnam Qureshi - Reading HospitalEugene P. York - Reading Hospital
- Publication Details
- International journal of colorectal disease, v 34(12), pp 2059-2067
- Publisher
- Springer Nature
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate)
- Web of Science ID
- WOS:000495282600004
- Scopus ID
- 2-s2.0-85074847018
- Other Identifier
- 991021957265404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Gastroenterology & Hepatology
- Surgery