TY - JOUR
T1 - Risk factors for readmission in patients with acute diverticulitis
T2 - a retrospective study at Auckland City Hospital
AU - Höckert, Stina
AU - Valdivieso, Patricia Maldonado
AU - Jaung, Rebekah
AU - Buchwald, Pamela
AU - Bissett, Ian
PY - 2022
Y1 - 2022
N2 - aim: Approximately one in five patients with acute diverticulitis (AD) will experience a recurrence. This study aimed to investigate the factors at AD admission that correlate with recurrence and test the proposed risk of recurrence-score according to Sallinen et al. method: This retrospective study followed patients for five years who were admitted with operatively or computed tomography (CT)verified AD at Auckland City Hospital from January 2012–June 2013. Demographic, laboratory, radiological and patient-related factors at initial admission were analysed in relation to readmission with recurrent AD and to test a risk score presented by Sallinen et al. results: In the adjusted analyses, previous diagnosis of AD (OR, 7.3; 95% CI, 3.1–16.9), Māori ethnicity (OR, 5.7; 95% CI, 1.4–22.7) and complicated AD at index admission (OR, 2.5; 95% CI, 1.0–6.2), were all independent factors associated with readmission with recurrence. High-risk versus low-risk groups, according to the risk score, showed 71.4% and 18.6% recurrence rates, respectively. conclusion: History of diverticulitis and complicated AD are risk factors for recurrence. The finding of higher recurrence rate in Māori requires further investigation utilising appropriate research methodologies. The risk score presented by Sallinen et al. may be a useful predictor of recurrent AD.
AB - aim: Approximately one in five patients with acute diverticulitis (AD) will experience a recurrence. This study aimed to investigate the factors at AD admission that correlate with recurrence and test the proposed risk of recurrence-score according to Sallinen et al. method: This retrospective study followed patients for five years who were admitted with operatively or computed tomography (CT)verified AD at Auckland City Hospital from January 2012–June 2013. Demographic, laboratory, radiological and patient-related factors at initial admission were analysed in relation to readmission with recurrent AD and to test a risk score presented by Sallinen et al. results: In the adjusted analyses, previous diagnosis of AD (OR, 7.3; 95% CI, 3.1–16.9), Māori ethnicity (OR, 5.7; 95% CI, 1.4–22.7) and complicated AD at index admission (OR, 2.5; 95% CI, 1.0–6.2), were all independent factors associated with readmission with recurrence. High-risk versus low-risk groups, according to the risk score, showed 71.4% and 18.6% recurrence rates, respectively. conclusion: History of diverticulitis and complicated AD are risk factors for recurrence. The finding of higher recurrence rate in Māori requires further investigation utilising appropriate research methodologies. The risk score presented by Sallinen et al. may be a useful predictor of recurrent AD.
M3 - Article
C2 - 36302238
AN - SCOPUS:85140860618
SN - 0028-8446
VL - 135
SP - 10
EP - 18
JO - New Zealand Medical Journal
JF - New Zealand Medical Journal
IS - 1564
ER -