Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Publisher's site:
http://dx.doi.org/10.15585/mmwr.mm6614a1
Personal Author:
Malarcher, Christopher A. ; Wheaton, Anne G. ; Liu, Yong ; Greenlund, Sujay F. ; Greenlund, Suraj J. ; ... More +
Malarcher, Christopher A. ; Wheaton, Anne G. ; Liu, Yong ; Greenlund, Sujay F. ; Greenlund, Suraj J. ; Lu, Hua ; Croft, Janet B. Less -
Description:
In 2009, an estimated 565,000 Americans had Crohn's disease (1), an inflammatory bowel disorder that can affect any part of the gastrointestinal tract. Symptoms include persistent diarrhea, abdominal cramps and pain, constipation leading to bowel obstruction, and rectal bleeding.* Symptoms sometimes intensify in severity and require hospitalization and surgeries of the small intestine, colon, or rectum (2). Hospital discharge data from the National Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) were used to estimate U.S. hospitalizations| for Crohn's disease as both the first-listed and any-listed| discharge Diagnosis and common surgical procedures during hospitalizations with Crohn's disease as first-listed Diagnosis from 2003 to 2013, the most recent decade of data. Despite new therapies that were expected to improve remission and reduce hospitalizations, estimated numbers (and age-adjusted rates per 100,000 U.S. population) of hospitalizations for Crohn's disease as the first-listed Diagnosis did not change significantly from 2003 to 2013. The proportion of these hospitalizations during which small bowel resection was performed decreased from 4.9% in 2003 to 3.9% in 2013 (p<0.05); however, colorectal resection and fistula repair rates remained stable. Hospital stays for any-listed Crohn's disease increased from >120,000 (44.2 per 100,000) in 2003 to >196,000 (59.7 per 100,000) in 2013 (p<0.05). Patient education initiatives should focus on increasing awareness of exacerbating factors and medication compliance to prevent hospitalizations.
Subject:
[+]
Adolescent Adult Aged Aged, 80 And Over Crohn Disease Databases, Factual Female Full Report Hospitalization Humans Male Middle Aged Young Adult
Source:
MMWR Morb Mortal Wkly Rep. 66(14):377-381.
Pubmed ID:
28406887
Pubmed Central ID:
PMC5657804
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:fc04d9f46a2a131fb9452d93b8ce63b7e9e7a6adc13464cfe6834fe4f520c900
Download URL:
https://stacks.cdc.gov/view/cdc/55763/cdc_55763_DS1.pdf
File Type:

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