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ABSTRACT: Introduction
Paralytic ileus is a common clinical condition leading to significant morbidity and mortality. Most studies to date have focused on postoperative ileus, a common but not exclusive cause of the condition. There are limited epidemiological data regarding the incidence and impact of paralytic ileus and its relationship to other clinical conditions. In this cross-sectional study, we analyzed national inpatient hospitalization trends, demographic variation, cost of care, length of stay, and mortality for paralytic ileus hospitalizations as a whole.Methods
The National Inpatient Sample database was used to identify all hospitalizations with the diagnosis of paralytic ileus (International Classification of Diseases, 9th Revision code 560.1) as primary or secondary diagnosis during the period from 2001 to 2011. Statistical analysis was performed using Cochran-Armitage trend test, Wilcoxon rank sum test, and Poisson regression.Results
In 2001, there were 362,561 hospitalizations with the diagnosis of paralytic ileus as compared to 470,110 in 2011 (p < 0.0001). The age group 65-79 years was most commonly affected by paralytic ileus throughout the study period. In-hospital all-cause mortality decreased from 6.03% in 2001 to 5.10% in 2011 (p < 0.0001). However, the average cost of care per hospitalization increased from US$19,739 in 2001 to US$26,198 in 2011 (adjusted for inflation, p < 0.0001).Conclusion
There was a significant rise in the number of hospitalizations of paralytic ileus with increased cost of care and reduced all-cause mortality.
SUBMITTER: Solanki S
PROVIDER: S-EPMC7545785 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
Solanki Shantanu S Chakinala Raja Chandra RC Haq Khwaja Fahad KF Singh Jagmeet J Khan Muhammad Ali MA Solanki Dhanshree D Vyas Manasee J MJ Kichloo Asim A Mansuri Uvesh U Shah Harshil H Patel Achint A Haq Khwaja Saad KS Iqbal Umair U Nabors Christopher C Khan Hafiz Muzaffar Akbar HMA Aronow Wilbert S WS
SAGE open medicine 20201006
<h4>Introduction</h4>Paralytic ileus is a common clinical condition leading to significant morbidity and mortality. Most studies to date have focused on postoperative ileus, a common but not exclusive cause of the condition. There are limited epidemiological data regarding the incidence and impact of paralytic ileus and its relationship to other clinical conditions. In this cross-sectional study, we analyzed national inpatient hospitalization trends, demographic variation, cost of care, length o ...[more]