2896 30-Day Outcomes, Trends of Admission and Readmission of Gastrointestinal Bleeding for Last Decade

Abstract

INTRODUCTION: Gastrointestinal (GI) bleeding is one of the major medical problems causing about 300000 hospitalizations in the United States. We report the trend of the number of patients who were admitted & readmitted for GI bleeding in a tertiary care setting of Northern Pennsylvania. METHODS: Patients admitted with Gastrointestinal bleeding were extracted using ICD 10 codes K92.0, K92.1 and K92.2. Essential baseline characteristics including age, race, Primary Diagnosis, Readmission Diagnosis, Patients on bleeding medications, atrial fibrillation, Deep Vein Thrombosis, Pulmonary embolism, Metallic Heart Valve, History of CVA, 30-day mortality, causes of readmissions were identified by reviewing the electronic medical record of individual patients. Statistical analysis was performed using SPSS version 25. RESULTS: Total of 1296 patients was admitted in the last decade from 2009-2018 with the diagnosis of Gastrointestinal bleeding. Mean age of patients was 70.31 ± 15.38(Mean ± SD), the majority were Males (50.2%) and Caucasians (97.1%). Patients had following associated co-morbidities such as Deep venous thrombosis (9.0%), Pulmonary Embolism (5.8%), Atrial Fibrillation (33.4%), Metallic Heart Valve(5.8%) and History of Stroke/TIA (16.4%). Patients' mean hemoglobin at the time of admission was 10.1 ± 1.72(Mean ± SD) mg/dl. Median Length of stay was 4 days (IQ Range 2-6), 30 days Readmission rate was 19.4% and overall 30-day mortality was 6%. Among readmitted patients, 38.1% of patients were readmitted due to GI causes and 61.9% were readmitted due to Non-GI causes. The rate of readmission was observed to be increasing from 2009-2018 but was not statistically significant from (13.3% vs. 17.9% linear by linear P-value 0.717). CONCLUSION: This study showed that the number of admissions with a diagnosis of Gastrointestinal bleeding in the tertiary care setting of Northern Pennsylvania increased from 2009 to 2018 but the rate of readmission was not significantly affected.