Details

Autor(en) / Beteiligte

• Ito, Yoichiro
• Sakata, Yasuhisa
• Yoshida, Hisako
• Nonaka, Sayuri
• Fujii, Susumu
• Tanaka, Yuichiro
• Shirai, Shimpei
• Takeshita, Eri
• Akutagawa, Takashi
• Kawakubo, Hiroharu
• Yamamoto, Koji
• Tsuruoka, Nanae
• Shimoda, Ryo
• Iwakiri, Ryuichi
• Fujimoto, Kazuma

Titel

High Cost of Hospitalization for Colonic Diverticular Bleeding Depended on Repeated Bleeding and Blood Transfusion: Analysis with Diagnosis Procedure Combination Data in Japan

Ist Teil von

• Digestion, 2017-01, Vol.96 (2), p.76-80

Ort / Verlag

Basel, Switzerland

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Background: Bleeding from a colonic diverticulum is serious in aged patients. The aim of this study was to determine the risk factors for high-cost hospitalization of colonic diverticular bleeding using the diagnosis procedure combination (DPC) data. Methods: From January 2009 to December 2015, 78 patients with colonic diverticular bleeding were identified by DPC data in Saga Medical School Hospital. All patients underwent colonic endoscopy within 3 days. The patients were divided into 2 groups: the low-cost group (DPC cost of <500,000 yen) and the high-cost group (DPC cost of >500,000 yen). Results: Univariate analysis revealed that aging, hypertension, rebleeding, a low hemoglobin concentration at admission, and blood transfusion were risk factors for high hospitalization cost. Multivariate analysis revealed that rebleeding (OR 5.3; 95% CI 1.3-21.3; p = 0.017) and blood transfusion (OR 3.8; 95% CI 1.01-14.2; p = 0.048) were definite risk factors for high hospitalization cost. Conclusion: Rebleeding and blood transfusion were related to high hospitalization cost for colonic diverticular bleeding.