Saad Saleem1, Faisal Inayat2, Muhammad Aziz3, Eric O Then4, Yousaf Zafar5, Vinaya Gaduputi6. 1. Department of Internal Medicine Sunrise Hospital and Medical Center Las Vegas Nevada USA. 2. Department of Internal Medicine Allama Iqbal Medical College Lahore Pakistan. 3. Division of Gastroenterology and Hepatology University of Toledo Medical Center Toledo Ohio USA. 4. Department of Internal Medicine St. Barnabas Hospital, Health System Bronx New York USA. 5. Department of Internal Medicine University of Mississippi Medical Center Jackson Mississippi USA. 6. Division of Gastroenterology and Hepatology, Department of Internal Medicine St. Barnabas Hospital, Health System Bronx New York USA.
Abstract
BACKGROUND AND AIM: To determine the United States-based in-hospital gastroparesis mortality rate and independent predictors associated with it. METHODS: A retrospective study was conducted using the deidentified National Inpatient Sample and Healthcare Cost and Utilization Project database between the years 2012 and 2014. The in-hospital gastroparesis mortality rate was calculated. Patients' demographics, including age, gender, race, comorbid conditions, and hospital characteristics, were examined as potential predictors of mortality. RESULTS: The gastroparesis mortality rate was 3.19 per 1000 gastroparesis patients for the years 2012-2014. Caucasians had the highest mortality rate, with odds ratio (OR) = 2.27; 95% confidence interval (CI) 1.52-3.38, and P = 0.0001. Rural hospitals had higher mortality, with OR = 1.51, 95% CI 1.10-2.10, and P = 0.01, whereas urban nonteaching and teaching hospitals showed no statistically significant mortality difference, with OR = 0.83, 95% CI 0.6-1.15, and P = 0.27 and OR = 0.82, 95% CI 0.59-1.15, and P = 0.25, respectively. In hospitals in the south region, mortality was the highest at 65.6%, with OR = 2.05, 95% CI 1.48-2.84, and P < 0.0001. Patients with diabetes mellitus had 39% lower probability in the mortality group. CONCLUSION: Being of advanced age; being White; and being in a rural, southern U.S. hospital were predictors of in-hospital mortality in gastroparesis patients.
BACKGROUND AND AIM: To determine the United States-based in-hospital gastroparesis mortality rate and independent predictors associated with it. METHODS: A retrospective study was conducted using the deidentified National Inpatient Sample and Healthcare Cost and Utilization Project database between the years 2012 and 2014. The in-hospital gastroparesis mortality rate was calculated. Patients' demographics, including age, gender, race, comorbid conditions, and hospital characteristics, were examined as potential predictors of mortality. RESULTS: The gastroparesis mortality rate was 3.19 per 1000 gastroparesis patients for the years 2012-2014. Caucasians had the highest mortality rate, with odds ratio (OR) = 2.27; 95% confidence interval (CI) 1.52-3.38, and P = 0.0001. Rural hospitals had higher mortality, with OR = 1.51, 95% CI 1.10-2.10, and P = 0.01, whereas urban nonteaching and teaching hospitals showed no statistically significant mortality difference, with OR = 0.83, 95% CI 0.6-1.15, and P = 0.27 and OR = 0.82, 95% CI 0.59-1.15, and P = 0.25, respectively. In hospitals in the south region, mortality was the highest at 65.6%, with OR = 2.05, 95% CI 1.48-2.84, and P < 0.0001. Patients with diabetes mellitus had 39% lower probability in the mortality group. CONCLUSION: Being of advanced age; being White; and being in a rural, southern U.S. hospital were predictors of in-hospital mortality in gastroparesis patients.
Authors: Michael Camilleri; Henry P Parkman; Mehnaz A Shafi; Thomas L Abell; Lauren Gerson Journal: Am J Gastroenterol Date: 2012-11-13 Impact factor: 10.864
Authors: Karen L Jones; Antonietta Russo; Melanie K Berry; Julie E Stevens; Judith M Wishart; Michael Horowitz Journal: Am J Med Date: 2002-10-15 Impact factor: 4.965