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Colonic diverticular bleeding and predictors of the length of hospitalization: An observational study

Michiko Wada1,2, Toshihiro Nishizawa1,2,3, Motohiko Kato2

  • 1Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.

Journal of Gastroenterology and Hepatology
|January 13, 2019
PubMed

Insights

Urgent colonoscopy significantly reduces hospitalization for colonic diverticular bleeding (CDB). This approach is safe and efficient, avoiding increased adverse events or re-bleeding for patients with CDB.

Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Medical Economics

Background:

  • Colonic diverticular bleeding (CDB) frequently leads to prolonged hospital stays, impacting patient quality of life and healthcare resource utilization.
  • Identifying factors influencing hospitalization duration is crucial for optimizing patient management and reducing societal financial burdens.

Purpose of the Study:

  • To investigate factors associated with the length of hospitalization for patients admitted with colonic diverticular bleeding (CDB).
  • To identify strategies for optimizing the management of hospitalized CDB patients.

Main Methods:

  • A cohort of 223 patients hospitalized for CDB and undergoing colonoscopy between July 2008 and February 2016 was analyzed.
  • Logistic regression was employed to assess the relationship between hospitalization length and patient characteristics, procedures, and clinical outcomes.

Main Results:

  • Diabetes mellitus and blood transfusion were identified as significant risk factors for prolonged hospitalization (≥ 8 days).
  • Urgent colonoscopy was associated with a shorter length of hospitalization (≤ 7 days) and stronger links to endoscopic treatment.
  • Urgent colonoscopy did not correlate with increased adverse events or re-bleeding rates.

Conclusions:

  • Urgent colonoscopy effectively shortens hospitalization duration for CDB patients compared to elective procedures.
  • This approach is safe, with no increased risk of adverse events or re-bleeding.
  • Aggressive consideration of urgent colonoscopy is recommended for efficient management of CDB hospital stays, where feasible.
Abstract

Keywords:
colonic diverticular bleedinglength of hospitalizationurgent colonoscopy

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