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Increase in Hospital Discharges for Inflammatory Bowel Diseases in Chile Between 2001 and 2012
Felipe Bellolio Roth1, Javier Gómez2, Jaime Cerda3
1Coloproctology Unit, Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Marcoleta 350, 8320000, Santiago, Chile. fbelloli@med.puc.cl.
Insights
Hospital discharges for inflammatory bowel diseases (IBD) in Chile significantly increased from 2001 to 2012. This trend was accompanied by reduced hospital stays, fewer surgeries, and lower mortality rates for IBD patients.
Area of Science:
- Gastroenterology
- Public Health
- Epidemiology
Background:
- Inflammatory bowel diseases (IBD), including ulcerative colitis and Crohn's disease, represent a significant public health concern.
- Understanding trends in hospitalizations for IBD is crucial for resource allocation and healthcare planning.
Purpose of the Study:
- To determine the annual number of hospital discharges for IBD in Chile between 2001 and 2012.
- To investigate the trend in IBD-related hospitalizations over the study period.
Main Methods:
- A descriptive study analyzing national hospital discharge data from 2001 to 2012.
- Key variables examined included length of stay, in-hospital mortality, and surgical procedures.
- Statistical analysis, including B-coefficient calculation, assessed the significance of the annual trend.
Main Results:
- A total of 13,001 IBD hospital discharges were recorded, representing 0.067% of all discharges.
- The annual rate of IBD hospital discharges per 100,000 inhabitants significantly increased from 5.25 in 2001 to 8.64 in 2012.
- Despite the rise in discharges, there was a notable decrease in length of stay, surgical intervention rates, and in-hospital mortality.
Conclusions:
- Chile experienced a significant increase in hospital discharges for IBD between 2001 and 2012.
- This rise in hospitalizations was paradoxically associated with improvements in patient outcomes, including shorter stays and reduced mortality.
- The findings highlight evolving management strategies and disease patterns for IBD in Chile.
Aim:
To determine the number of annual hospital discharges for inflammatory bowel diseases in Chile. The hypothesis is that there is a significant increase in the hospital discharges due to this disease from 2001 to 2012.
Materials And Methods:
This is a descriptive study. Data were obtained from the Web site of the Department of Health Statistics. All hospital discharges from 2001 to 2012 were included. The following variables were analyzed: length of stay, hospital mortality, and eventual surgical procedure. Data are presented as descriptive statistics. The B-coefficient was calculated to establish the significance of the annual trend.
Results:
There were 13,001 hospital discharges with the diagnosis of ulcerative colitis or Crohn's disease, corresponding to 0.067% of all hospital discharges in the whole period. Within these discharges, 31.2% were Crohn's disease and 68.8% were ulcerative colitis. At least one surgical procedure was performed in 12.9% of the hospitalizations. There was a significant increase in the annual rate of hospital discharges from 5.25 in 2001 to 8.64 per 100 thousand inhabitants in 2012. This increase was from 1.68 to 3.11 in Crohn's disease and from 3.58 to 5.53 in ulcerative colitis. However, a decrease was observed in length of stay, need of surgical treatment and in-hospital mortality.
Conclusion:
From 2001 until 2012, there has been a significant increase in hospital discharges for inflammatory bowel diseases in Chile, associated with a decrease in length of stay, need of surgery and in-hospital mortality.
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