Skip to main content
SpringerLink
Log in

Increase in Hospital Discharges for Inflammatory Bowel Diseases in Chile Between 2001 and 2012

  • Original Article
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

Aim

To determine the number of annual hospital discharges for inflammatory bowel diseases in Chile. The hypothesis is that there is a significant increase in the hospital discharges due to this disease from 2001 to 2012.

Materials and Methods

This is a descriptive study. Data were obtained from the Web site of the Department of Health Statistics. All hospital discharges from 2001 to 2012 were included. The following variables were analyzed: length of stay, hospital mortality, and eventual surgical procedure. Data are presented as descriptive statistics. The B-coefficient was calculated to establish the significance of the annual trend.

Results

There were 13,001 hospital discharges with the diagnosis of ulcerative colitis or Crohn’s disease, corresponding to 0.067% of all hospital discharges in the whole period. Within these discharges, 31.2% were Crohn’s disease and 68.8% were ulcerative colitis. At least one surgical procedure was performed in 12.9% of the hospitalizations. There was a significant increase in the annual rate of hospital discharges from 5.25 in 2001 to 8.64 per 100 thousand inhabitants in 2012. This increase was from 1.68 to 3.11 in Crohn’s disease and from 3.58 to 5.53 in ulcerative colitis. However, a decrease was observed in length of stay, need of surgical treatment and in-hospital mortality.

Conclusion

From 2001 until 2012, there has been a significant increase in hospital discharges for inflammatory bowel diseases in Chile, associated with a decrease in length of stay, need of surgery and in-hospital mortality.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Hwang J, Varma M. Surgery for inflammatory bowel disease. World J Gastroenterol. 2008;14:2678–2690.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Nguyen G, Tuskey A, Dassopoulos T, et al. Rising hospitalization rates for inflammatory bowel disease in the United States between 1998 and 2004. Inflamm Bowel Dis. 2007;13:1529–1535.

    Article  PubMed  Google Scholar 

  3. Lakatos P. Recent trends in the epidemiology of inflammatory bowel diseases: up or down? World J Gastroenterol. 2006;12:6102–6108.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Jakubowski A, Zagorowicz E, Kraszewska E, et al. Rising hospitalization rates for inflammatory bowel disease in Poland. Pol Arch Med Wewn. 2014;124:180–190.

    PubMed  Google Scholar 

  5. Vind I, Riis L, Jess T, et al. Increasing incidences of inflammatory bowel disease and decreasing surgery rates in Copenhagen City and County, 2003–2005: a population-based study from the Danish Crohn colitis database. Am J Gastroenterol. 2006;101:1274–1282.

    Article  PubMed  Google Scholar 

  6. Smyth C, Bacheer S, Rathore O, et al. Increasing rates and changing patterns of hospital admissions for patients with inflammatory bowel disease in Ireland: 1996–2001. Ir J Med Sci. 2005;174:28–32.

    Article  CAS  PubMed  Google Scholar 

  7. Benchimol E, Mack D, Guttman A, et al. Inflammatory bowel disease in immigrants to Canada and their children: a population-based cohort study. Am J Gastroenterol. 2015;110:553–563.

    Article  PubMed  Google Scholar 

  8. Bewtra M, Su C, Lewis J. Trends in hospitalization rates for inflammatory bowel disease in the United States. Clin Gastroenterol Hepatol. 2007;5:597–601.

    Article  PubMed  Google Scholar 

  9. Figueroa C, Quera R, Valenzuela J, et al. Inflammatory bowel disease: experience of two Chilean centers. Rev Med Chile. 2005;133:1295–1304.

    Google Scholar 

  10. Simian D, Fluxa D, Flores L, et al. inflammatory bowel disease: a descriptive study of 716 local Chilean patients. World J Gastroenterol. 2016;22:5267–5275.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Rautava S, Ruuskanen O, Ouwehand A, et al. The hygiene hypothesis of atopic disease an extended version. J Pediatr Gastroenterol Nutr. 2004;38:378–388.

    Article  PubMed  Google Scholar 

  12. Bloomfield S, Rook G, Scott E, et al. Time to abandon the hygiene hypothesis: new perspectives on allergic disease, the human microbiome, infectious disease prevention and the role of targeted hygiene. Perspect Public Health. 2016;136:213–224.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Luque C, Cisternas F, Araya M. Cambios del patrón de enfermedad en la postransición epidemiológica en salud en Chile, 1950–2003. Rev Med Chile. 2006;134:703–712.

    Article  PubMed  Google Scholar 

  14. Raval M, Schnitzler M, O’Connor B, et al. Improved outcome due to increased experience and individualized management of leaks after ileal pouch-anal anastomosis. Ann Surg. 2007;246:763–770.

    Article  PubMed  Google Scholar 

  15. Fazio V, Tekkis P, Remzi F, et al. Quantification of risk for pouch failure after ileal pouch anal anastomosis surgery. Ann Surg. 2003;238:605–617.

    PubMed  PubMed Central  Google Scholar 

  16. Sakatani A, Fujiya M, Ito T, et al. Infliximab extends the duration until the first surgery in patients with Crohn’s disease. Biomed Res Int 2013;2013 Article ID 879491.

  17. Sokol H, Seksik P, Cosnes J. Complications and surgery in the inflammatory bowel diseases biological era. Curr Opin Gastroenterol. 2014;30:378–384.

    Article  PubMed  Google Scholar 

  18. Devaraj B, Kaiser A. Surgical management of ulcerative colitis in the era of biologicals. Inflamm Bowel Dis. 2015;21:208–220.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Coloproctology Unit, Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Marcoleta 350, 8320000, Santiago, Chile

    Felipe Bellolio Roth & Javier Gómez

  2. Department of Public Health, Pontificia Universidad Católica de Chile, Marcoleta 350, 8320000, Santiago, Chile

    Jaime Cerda

Authors
  1. Felipe Bellolio Roth
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Javier Gómez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jaime Cerda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Felipe Bellolio Roth.

Ethics declarations

Conflict of interest

Felipe Bellolio Roth, Javier Gómez and Jaime Cerda have no conflicts of interest of any kind.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bellolio Roth, F., Gómez, J. & Cerda, J. Increase in Hospital Discharges for Inflammatory Bowel Diseases in Chile Between 2001 and 2012. Dig Dis Sci 62, 2311–2317 (2017). https://doi.org/10.1007/s10620-017-4660-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-017-4660-5

Keywords

Search

Navigation