The outcomes and risk factors of early readmission in patients with intestinal Behçet’s disease

  • Yong Eun Park
  • Jae Hee Cheon
  • Yehyun Park
  • Soo Jung Park
  • Tae Il Kim
  • Won Ho Kim
Original Article
  • 53 Downloads

Abstract

Hospital readmission rate is an integral quality of care measurement for hospitalized patients which is unknown for intestinal Behçet’s disease cases. The purpose of this study was to investigate the risk factors and outcomes for patients readmitted early with intestinal Behçet’s disease. We retrospectively reviewed patients with intestinal Behçet’s disease who were readmitted to our hospital between 2005 and 2016. We then analyzed the risk factors and outcomes for early readmission within 3 months. Of the 204 patients who were readmitted, 103 patients (50.5%) were readmitted within 3 months and 101 (49.5%) were never readmitted or readmitted after 3 months. After multivariate analysis, hospital stay at the first admission (adjusted odds ratio [OR], 0.945; 95% confidence interval [CI], 0.908–0.982; P = 0.004), high disease activity index for intestinal Behçet’s disease score (adjusted OR, 1.111; 95% CI, 1.060–1.165; P < 0.001), corticosteroid use (adjusted OR, 3.179; 95% CI, 1.135–8.910; P = 0.028), and opioid use (adjusted OR, 7.979; 95% CI, 1.084–58.755; P = 0.041) were independent factors for early readmission. We identified four independent prognostic factors for early readmission within 3 months, which might help guide appropriate management strategies for hospitalized patients with intestinal Behçet’s disease.

Keywords

Intestinal Behçet’s disease Prognostic factor Readmission 

Abbreviations

BD

Behçet’s disease

GI

Gastrointestinal

IBD

Inflammatory bowel disease

CD

Crohn’s disease

UC

Ulcerative colitis

DAIBD

Disease activity index for intestinal Behçet’s disease

ESR

Erythrocyte sedimentation rate

CRP

C-reactive protein

5-ASA

5-Aminosalicylic acid

6-MP

6-Mercaptopurine

NSAIDs

Nonsteroidal anti-inflammatory drugs

IQR

Interquartile range

ORs

Odds ratios

CIs

Confidence intervals

Notes

Acknowledgements

The authors are grateful to Dong-Su Jang, (medical illustrator, Medical Research Support Section, Yonsei University College of Medicine, Seoul, Republic of Korea) for his help with the figures.

Guarantor of the article

Jae Hee Cheon.

Author contributions

Yong Eun Park: acquisition of data, analysis and interpretation of data, drafting of the manuscript. Yehyun Park: study concept and design, critical revision of the manuscript for important intellectual content. Soo Jung Park: study concept and design, critical revision of the manuscript for important intellectual content. Tae Il Kim: study concept and design, critical revision of the manuscript for important intellectual content. Won Ho Kim: study concept and design, critical revision of the manuscript for important intellectual content. Jae Hee Cheon: acquisition of data, study concept and design, critical revision of the manuscript for important intellectual content. All authors approved the final version of the article, including the authorship list.

Compliance with ethical standards

This study was performed in accordance with the ethical guidelines of the 1975 Declaration of Helsinki and approved by the Institutional Review Board of Severance Hospital.

Disclosures

None.

Supplementary material

10067_2017_3904_MOESM1_ESM.docx (31 kb)
ESM 1 (DOCX 30 kb)

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Copyright information

© International League of Associations for Rheumatology (ILAR) 2017

Authors and Affiliations

  • Yong Eun Park
    • 1
  • Jae Hee Cheon
    • 1
    • 2
  • Yehyun Park
    • 1
    • 2
  • Soo Jung Park
    • 1
    • 2
  • Tae Il Kim
    • 1
    • 2
  • Won Ho Kim
    • 1
    • 2
  1. 1.Department of Internal Medicine, College of MedicineYonsei UniversitySeoulSouth Korea
  2. 2.Institute of Gastroenterology, College of MedicineYonsei UniversitySeoulSouth Korea

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