Dieulafoy's Lesion: Decade-Long Trends in Hospitalizations, Demographic Disparity, and Outcomes.

current trends dieulafoy's lesion endoscopy epidemiology gastrointestinal bleeding gastrointestinal disorders

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
13 Jul 2020
Historique:
entrez: 18 8 2020
pubmed: 18 8 2020
medline: 18 8 2020
Statut: epublish

Résumé

Background Dieulafoy's lesion is a relatively rare, but potentially life-threatening, condition where a tortuous arteriole, most commonly in the stomach, may bleed and lead to significant gastrointestinal hemorrhage. Limited epidemiological data exist on patient characteristics and the annual number of hospitalizations associated with such lesions. The aim of our study is to determine the inpatient burden of Dieulafoy's lesion. Methods We analyzed the National Inpatient Sample (NIS) database for all subjects with a discharge diagnosis of Dieulafoy's lesion of the stomach, duodenum, and colon using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes 537.84 and 569.86 as the primary or secondary diagnosis during the period from 2002 to 2011. Statistical significance of variation in the number of hospital discharges and demographics during the study period was achieved using the Cochrane-Armitage trend test. Results In 2002, there were 1,071 admissions with a discharge diagnosis of Dieulafoy's lesion as compared to 7,414 in 2011 (p < 0.0001). Dieulafoy's lesion was found to be most common in the age group of 65-79 years (p < 0.0001). Overall, it was found to be more common in males as compared to females (p = 0.0261). The white race was most commonly affected amongst all the races. The average cost of care per hospitalization increased from $14,992 in 2002 to $25,594 in 2011 (p < 0.0001). Conclusion There has been a steady rise in the number of inpatient admissions with Dieulafoy's lesions. Advances in diagnostic techniques likely play a key role in the higher detection rates along with the possible involvement of other unknown factors. Men, in the age group of 65 to 79 years, and Whites were found to have significantly higher admission rates than all other groups, with a significant increase in the cost of care.

Identifiants

pubmed: 32802607
doi: 10.7759/cureus.9170
pmc: PMC7424366
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e9170

Informations de copyright

Copyright © 2020, Chakinala et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Raja Chandra Chakinala (RC)

Internal Medicine, Independent Researcher, Sayre, USA.

Shantanu Solanki (S)

Hospital-Based Medicine, Geisinger Commonwealth School of Medicine, Scranton, USA.

Khwaja F Haq (KF)

Gastroenterology, Henry Ford Hospital, Detroit, USA.

Jagmeet Singh (J)

Nephrology, Geisinger Commonwealth School of Medicine, Scranton, USA.

Harshil Shah (H)

Internal Medicine, Independent Researcher, Sayre, USA.

Dhanshree Solanki (D)

Hospital Administration, Rutgers University, New Brunswick, USA.

Asim Kichloo (A)

Internal Medicine, Central Michigan University, Saginaw, USA.

Khwaja S Haq (KS)

Medicine, Kingsbrook Jewish Medical Center, Brooklyn, USA.

Azam H Burney (AH)

Medicine, Kingsbrook Jewish Medical Center, Brooklyn, USA.

Shanza Waqar (S)

Medicine, MedCare Clinics, St. Catharines, CAN.

Manasee Vyas (M)

Medicine, Mahatma Gandhi Institute of Health Sciences, Mumbai, IND.

Savneek Chugh (S)

Nephrology, Westchester Medical Center, Valhalla, USA.

Christopher Nabors (C)

Internal Medicine, Westchester Medical Center, Valhalla, USA.

Classifications MeSH