High Cost of Hospitalization for Colonic Diverticular Bleeding Depended on Repeated Bleeding and Blood Transfusion: Analysis with Diagnosis Procedure Combination Data in Japan.

Abstract

BACKGROUND:

Bleeding from a colonic diverticulum is serious in aged patients. The aim of this study was to determine the risk factors for high-cost hospitalization of colonic diverticular bleeding using the diagnosis procedure combination (DPC) data.

METHODS:

From January 2009 to December 2015, 78 patients with colonic diverticular bleeding were identified by DPC data in Saga Medical School Hospital. All patients underwent colonic endoscopy within 3 days. The patients were divided into 2 groups: the low-cost group (DPC cost of <500,000 yen) and the high-cost group (DPC cost of >500,000 yen).

RESULTS:

Univariate analysis revealed that aging, hypertension, rebleeding, a low hemoglobin concentration at admission, and blood transfusion were risk factors for high hospitalization cost. Multivariate analysis revealed that rebleeding (OR 5.3; 95% CI 1.3-21.3; p = 0.017) and blood transfusion (OR 3.8; 95% CI 1.01-14.2; p = 0.048) were definite risk factors for high hospitalization cost.

CONCLUSION:

Rebleeding and blood transfusion were related to high hospitalization cost for colonic diverticular bleeding.

• Authors: Yoichiro Ito, Yasuhisa Sakata, Hisako Yoshida, Sayuri Nonaka, Susumu Fujii, Yuichiro Tanaka, Shimpei Shirai, Eri Takeshita, Takashi Akutagawa, Hiroharu Kawakubo, Koji Yamamoto, Nanae Tsuruoka, Ryo Shimoda, Ryuichi Iwakiri, Kazuma Fujimoto
• Journal: Digestion (Digestion) Vol. 96 Issue 2 Pg. 76-80 ( 2017) ISSN: 1421-9867 [Electronic] Switzerland
• PMID: 28723691 (Publication Type: Journal Article)
• Copyright: © 2017 S. Karger AG, Basel.

Chemical References

• Hemoglobins

Topics

• Aged
• Aged, 80 and over
• Blood Transfusion (economics, statistics & numerical data)
• Colon (diagnostic imaging, pathology)
• Colonoscopy (economics, statistics & numerical data)
• Diverticulum, Colon (complications, diagnosis, economics, therapy)
• Female
• Gastrointestinal Hemorrhage (diagnosis, economics, etiology, therapy)
• Health Care Costs (statistics & numerical data)
• Hemoglobins (analysis)
• Hospitalization (economics, statistics & numerical data)
• Humans
• Japan
• Male
• Middle Aged
• Retrospective Studies
• Risk Factors