Description
TitleHospitalization outcomes of Crohn's Disease inpatients in the United States
Date Created2016
Other Date2016-10 (degree)
Extent1 online resource (ix, 97 p. : ill.)
DescriptionBackground: Crohn's Disease is a chronic disease of the gastrointestinal tract. Crohn's disease most commonly, affects the small intestine and colon, but any portion of the bowel from the mouth to the anus may be involved. The disease is characterized by intermittent episodes of relapse, remission, and recurrence, often requiring surgical intervention and/or therapeutic agents such as steroids, and novel immunosuppressive drugs, as part of the medical management plan. This investigation offers an understanding on how age, race gender, medical insurance and medical comorbidities play a role in the hospitalization of patients with Crohn's disease across the four regions (Northeast, Midwest, South and West) within the United States. Descriptive statistical analysis was conducted to detect observations that were statistically significant to further conduction other statistical applications. Analysis of variance was performed using a statistical model ANOVA in an effort to expose and uncover differences that are statistically significant between patient length of stay and four numerical variables ( LOS = Pay1, Race, Female and Agecat). Further, another ANOVA analysis was done to incorporate categorical variables (TOTCHG = Pay1, Race, Female, and Agecat). Logistic regression analysis was done to better understand the relation between patient demographic characteristics and outcomes of patients with Crohn's disease. Methods: This is a retrospective, observational, cohort study of Crohn's disease patients in the existing HCUP database for the years beginning in 2008-2012. Patients being admitted to the hospital based on the following ICD-9-CM code for Crohn's disease (555.0, 555.1, 555.2, 555.9), inflammatory bowel disease (569.89) and ulcerative colitis (556.1, 556.2, 556.3, 556.4, 556.5, 556.6, 556.8, 556.9). Results: Crohn's disease, inflammatory bowel disease and ulcerative colitis are within the age group of 18-40. The disease is more prevalence in whites. Logistic regression suggests that there are statistically significant predictive relations between patients demographics and outcomes of Crohn's disease in 65.5% of what is reported in the database. Conclusion: Young patients 18-40 exhibit higher hospitalization rates for Crohn's disease. Various medical comorbidities did not play a role in patient outcomes.
NotePh.D.
NoteIncludes bibliographical references
Noteby Yaniv Z. Ravee
Genretheses, ETD doctoral
Languageeng
CollectionSchool of Health Professions ETD Collection
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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