Outcomes of diverticulitis

xlomafota.13 shared this article with you from Inoreader Outcomes of diverticulitis in patients with tobacco smoking: a propensity-matched analysis of nationwide inpatient sample Via Latest Results for International Journal of Colorectal Disease Abstract Background Recent data shows a significantly increased risk of diverticulosis among smokers. There is limited data on the association between tobacco smoking and diverticulitis. We aim to determine in-hospital outcomes, length of hospital stay, and resource utilization in a contemporary cohort of diverticulitis patients based on tobacco smoking status. Methods A retrospective analysis was performed by utilizing the National Inpatient Sample database (2016 and 2017) and the International Classification of Diseases, Tenth Revision codes to identify the patients with the principal diagnosis of diverticulitis and smoking. We assessed all-cause in-hospital mortality, morbidity, length of hospital stay (LOS), and total costs between propensity-matched groups of tobacco smokers vs. nonsmokers with diverticulitis. Results We identified 442,273 diverticulitis patients, of whom 96,864 were tobacco smokers, and 345,409 were nonsmokers. Between the two groups, in-hospital mortality was not significant (OR 1.09, 95% CI 0.38–2.6; P = 0.98). Tobacco smokers with diverticulitis have higher odds of lower gastrointestinal bleeding (LGIB) (OR 1.6, 95% CI 1.4–3.8; P = 0.01), peritonitis (OR 1.5, 95% CI 1.9–3.3; P = 0.00), intestinal obstruction (OR 1.6, 95% CI 2.8–7.6; P = 0.00), sepsis (OR 2.1, 95% CI 1.05–4.4; P = 0.03), and shock requiring vasopressor (OR 1.5, 95% CI 1.2–2.2; P = 0.00). In tobacco smokers with complicated diverticulitis, there were higher odds of LGIB (OR 1.4, 95% CI 1.2–1.6; P = 0.00), sepsis (OR 2.1, 95% CI 1.05–4.4; P = 0.03), and colectomy (OR 1.2, 95% CI 1.1–1.2; P = 0.00). In-hospital mortality was not significant in smokers with co mplicated diverticulitis (OR 1.2, 95% CI 0.78–1.9; P = 0.3). Conclusions In this propensity-matched analysis, there was no difference in in-hospital mortality between tobacco smokers vs. nonsmokers with diverticulitis. Smoking has been associated with an increased incidence of complications in diverticulitis with a higher length of hospital stay and resource utilization. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.