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P-170 YI Short Stay Hospitalization Rates for Pediatric Inflammatory Bowel Disease, 1988–2010

Sandberg Kelly; Davis, Matthew; Gebremariam, Acham; Adler, Jeremy
Inflammatory Bowel Diseases: December 2013
doi: 10.1097/01.MIB.0000438912.47488.29
Pediatric Poster Presentations: PDF Only


Recently reported trends in hospitalization of children with Inflammatory Bowel Disease (IBD) show increasing hospitalization rates for unclear reasons. Short stays in the hospital may contribute to this increase. Aims: To characterize the trend and investigate potential contributors to short stay hospitalizations and impact upon overall hospitalizations for children and young adults with IBD.


We analyzed hospital stays with a discharge diagnosis of Crohn's disease (CD) or ulcerative colitis (UC) within the Healthcare Cost and Utilization Project’s Nationwide Inpatient Sample database. Short stay hospitalizations were defined as <2 days. Rates of short stay hospitalizations per 100 IBD hospitalizations were calculated with 95% confidence intervals (CI) being reported.


Percent of IBD-hospitalizations that were short stay rose slowly from 7.9% (95% CI: 7.2–8.3) in 1988 to 12.0% (95% CI: 11.9–12.1) in 2000 and subsequently remained stable (Fig. 1). Coding for infliximab infusions were present in only 0.08% of IBD hospitalizations of any length of stay. There was little change in IBD short stay hospitalizations with surgery from 2.0% (95% CI: 1.2–2.4) to 2.6% (95% CI: 1.5–3.3) of surgery hospitalizations. IBD short stay hospitalizations with endoscopy rose from 4.0% (95% CI: 2.7–4.9) of IBD hospitalizations in 1991 transiently to 9.1% (95% CI: 7.2–10.4) in 1999–2000 before returning to previous levels (Fig. 2).


Short stay hospitalization rates increased from 1988 to 2000 and have since remained constant. Short stay hospitalizations, whether for same-day Infliximab infusions, same-day surgeries or same-day endoscopy, did not substantially contribute to the overall rise in hospitalization rates for children and young adults with IBD in the United States.



© Crohn's & Colitis Foundation of America, Inc.

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