Details:

Alternative Title:
Dig Dis Sci
Personal Author:
Xu, Fang ; Wheaton, Anne G. ; Barbour, Kamil E. ; Liu, Yong ; Greenlund, Kurt J.
Xu, Fang ; Wheaton, Anne G. ; Barbour, Kamil E. ; Liu, Yong ; Greenlund, Kurt J. Less -
Description:
Background

Patients with inflammatory bowel disease (IBD) have a higher risk of hip fracture, but lower likelihood of having arthroplasties than non-IBD patients in Nationwide Inpatient Sample. Little is known about hip fracture-associated hospitalization outcomes.

Aims

We assessed the trends in hip fracture hospitalization rates from 2000 to 2017 and estimated 30-day readmission, 30-day mortality, and length of stay in 2016 and 2017.

Methods

We estimated trends of age-adjusted hospitalization rates using a piecewise linear regression. Medicare beneficiaries aged ≥ 66 years with Crohn’s disease (CD, n = 2014) or ulcerative colitis (UC, n = 2971) hospitalized for hip fracture were identified. We performed propensity score matching to create 1:3 matched samples on age, race/ethnicity, sex, and chronic conditions and compared hospitalization outcomes between matched samples.

Results

In 2017, the age-adjusted hospitalization rates (per 100) were 1.15 [95% CI = (1.07–1.24)] for CD, 0.86 [95% CI = (0.82–0.89)] for UC, and 0.59 [95% CI = (0.59–0.59)] for no IBD. The hospitalization rates for CD and UC decreased from 2000 to 2012 and then increased from 2012 to 2017. Compared to matched cohorts, CD patients had longer hospital stays (5.55 days vs. 5.30 days, p = 0.01); UC patients were more likely to have 30-day readmissions (17.27% vs. 13.71%, p < 0.001), longer hospital stays (5.59 days vs. 5.40 days, p = 0.02), and less likely to have 30-day mortality (3.77% vs. 5.15%, p = 0.003).

Conclusions

Prevention of hip fracture is important for older adults with IBD, especially CD. Strategies that improve quality of inpatient care for IBD patients hospitalized for hip fracture should be considered.


Subjects:
[+]
30-day Mortality 30-day Readmission Aged Aged, 80 And Over Article Colitis, Ulcerative Crohn Disease Female Hip Fracture Hospitalization Hip Fractures Hospitalization Humans Inflammatory Bowel Disease Inflammatory Bowel Diseases Length Of Stay Male Medicare Mortality Patient Readmission Risk Factors Treatment Outcome Trends Of Hospitalization Rate United States
Source:
Dig Dis Sci. 66(6):1818-1828
Pubmed ID:
32700169
Pubmed Central ID:
PMC10416557
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:042c3fc36a5025b8bfaafcdfb28a2d401fe3aa2ff6633a5c104615a5e81e9912
Download URL:
https://stacks.cdc.gov/view/cdc/131954/cdc_131954_DS1.pdf
File Type:

Supporting Files

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