Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization.
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ABSTRACT: Background
Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose.Methods
Over 2014-2016, IBD patients were retrospectively stratified into those managed and not managed by pathways. Patient data were extracted, and negative binomial regression used to predict the annual number of ED visits.Results
There was a difference of 30.7 ED visits/100 patients between managed and nonmanaged at 12 months (P < 0.001). The incidence rate ratio of total ED visits occurring annually was 0.750 (P = 0.008).Conclusions
Management with IBD care pathways reduces ED utilization.
SUBMITTER: Lytvyak E
PROVIDER: S-EPMC9802474 | biostudies-literature | 2020 Oct
REPOSITORIES: biostudies-literature
Publications
Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization.
Lytvyak Ellina E Sutton Reed T RT Dieleman Levinus A LA Peerani Farhad F Fedorak Richard N RN Kroeker Karen I KI
Crohn's & colitis 360 20201013 4
<h4>Background</h4>Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose.<h4>Methods</h4>Over 2014-2016, IBD patients were retrospectively stratified into those managed and not managed by pathways. Patient data were extracted, and negative binomial regression used to predict the annual number of ED visits.<h4>Results</h4>There was a difference of 30.7 ED vis ...[more]
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