在因刺激性肠综合征住院后,无计划的30天再入院
Joshua O Ugboke1, Fidelis Uwumiro2, Efeturi M Okorigba1
1Internal Medicine, College of Medicine, University of Lagos, Lagos, NGA.
Cureus
|August 14, 2024
概括
刺激性肠综合征 (IBS) 无计划的30天复发发生在11.1%的患者中,显示出更高的并发症和成本. 像性结肠炎这样的疾病预测IBS患者的再入院率更高.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 刺激性肠综合征 (IBS) 带来了诊断挑战,需要广泛的训练.
- 对于IBS患者来说,无计划的再住院 represent 代表了相当大的医疗负担.
研究的目的:
- 调查IBS患者住院的成年患者30天无计划再入院的发病率和特征.
- 为了确定预测在初始IBS住院后30天再入院的因素.
主要方法:
- 对2020年全国再接收数据库的分析.
- 使用ICD-10-CM代码识别成人IBS住院情况,但不包括未成年人和选择性住院情况.
- 多变量考克斯回归来确定再接收的预测因素.
主要成果:
- 11.1%的IBS住院导致30天的再入院.
- 再入院显示出更高的并发症负担,更长的停留时间,增加的住院患者死亡率和更高的成本.
- 性结肠炎,间歇性囊炎,外周血管疾病和短期出院预测了更高的再入院可能性.
结论:
- 与最初的住院治疗相比,IBS复发与较差的结果有关.
- 特定的并发症 (性结肠炎,间歇性囊炎,外周血管疾病) 和出院安排增加IBS患者的再入院风险.
相关概念视频
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
188
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
188
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
154
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
154
01:17Irritable Bowel Syndrome I: Introduction
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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
264
01:17Chronic Bowel Disorders: Introduction
427
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
427
01:17Drugs for Treatment of Diarrhea-Predominant IBS
153
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
153
01:21Inflammatory Bowel Disease V: Surgical Management
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
134