In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study

Abstract Background and Aim To determine the United States‐based in‐hospital gastroparesis mortality rate and independent predictors associated with it. Methods A retrospective study was conducted using the deidentified National Inpatient Sample and Healthcare Cost and Utilization Project database b...

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Main Authors: Saad Saleem, Faisal Inayat, Muhammad Aziz, Eric O Then, Yousaf Zafar, Vinaya Gaduputi
Format: Article
Language:English
Published: Wiley 2021-03-01
Series:JGH Open
Subjects:
Online Access:https://doi.org/10.1002/jgh3.12500
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author Saad Saleem
Faisal Inayat
Muhammad Aziz
Eric O Then
Yousaf Zafar
Vinaya Gaduputi
author_facet Saad Saleem
Faisal Inayat
Muhammad Aziz
Eric O Then
Yousaf Zafar
Vinaya Gaduputi
author_sort Saad Saleem
collection DOAJ
description Abstract Background and Aim To determine the United States‐based in‐hospital gastroparesis mortality rate and independent predictors associated with it. Methods A retrospective study was conducted using the deidentified National Inpatient Sample and Healthcare Cost and Utilization Project database between the years 2012 and 2014. The in‐hospital gastroparesis mortality rate was calculated. Patients' demographics, including age, gender, race, comorbid conditions, and hospital characteristics, were examined as potential predictors of mortality. Results The gastroparesis mortality rate was 3.19 per 1000 gastroparesis patients for the years 2012–2014. Caucasians had the highest mortality rate, with odds ratio (OR) = 2.27; 95% confidence interval (CI) 1.52–3.38, and P = 0.0001. Rural hospitals had higher mortality, with OR = 1.51, 95% CI 1.10–2.10, and P = 0.01, whereas urban nonteaching and teaching hospitals showed no statistically significant mortality difference, with OR = 0.83, 95% CI 0.6–1.15, and P = 0.27 and OR = 0.82, 95% CI 0.59–1.15, and P = 0.25, respectively. In hospitals in the south region, mortality was the highest at 65.6%, with OR = 2.05, 95% CI 1.48–2.84, and P < 0.0001. Patients with diabetes mellitus had 39% lower probability in the mortality group. Conclusion Being of advanced age; being White; and being in a rural, southern U.S. hospital were predictors of in‐hospital mortality in gastroparesis patients.
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spelling doaj.art-1837c3e351a44bae8d037b63d8619d6f2022-12-21T22:33:45ZengWileyJGH Open2397-90702021-03-015335035510.1002/jgh3.12500In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population studySaad Saleem0Faisal Inayat1Muhammad Aziz2Eric O Then3Yousaf Zafar4Vinaya Gaduputi5Department of Internal Medicine Sunrise Hospital and Medical Center Las Vegas Nevada USADepartment of Internal Medicine Allama Iqbal Medical College Lahore PakistanDivision of Gastroenterology and Hepatology University of Toledo Medical Center Toledo Ohio USADepartment of Internal Medicine St. Barnabas Hospital, Health System Bronx New York USADepartment of Internal Medicine University of Mississippi Medical Center Jackson Mississippi USADivision of Gastroenterology and Hepatology, Department of Internal Medicine St. Barnabas Hospital, Health System Bronx New York USAAbstract Background and Aim To determine the United States‐based in‐hospital gastroparesis mortality rate and independent predictors associated with it. Methods A retrospective study was conducted using the deidentified National Inpatient Sample and Healthcare Cost and Utilization Project database between the years 2012 and 2014. The in‐hospital gastroparesis mortality rate was calculated. Patients' demographics, including age, gender, race, comorbid conditions, and hospital characteristics, were examined as potential predictors of mortality. Results The gastroparesis mortality rate was 3.19 per 1000 gastroparesis patients for the years 2012–2014. Caucasians had the highest mortality rate, with odds ratio (OR) = 2.27; 95% confidence interval (CI) 1.52–3.38, and P = 0.0001. Rural hospitals had higher mortality, with OR = 1.51, 95% CI 1.10–2.10, and P = 0.01, whereas urban nonteaching and teaching hospitals showed no statistically significant mortality difference, with OR = 0.83, 95% CI 0.6–1.15, and P = 0.27 and OR = 0.82, 95% CI 0.59–1.15, and P = 0.25, respectively. In hospitals in the south region, mortality was the highest at 65.6%, with OR = 2.05, 95% CI 1.48–2.84, and P < 0.0001. Patients with diabetes mellitus had 39% lower probability in the mortality group. Conclusion Being of advanced age; being White; and being in a rural, southern U.S. hospital were predictors of in‐hospital mortality in gastroparesis patients.https://doi.org/10.1002/jgh3.12500gastroparesishospitalizationmortality
spellingShingle Saad Saleem
Faisal Inayat
Muhammad Aziz
Eric O Then
Yousaf Zafar
Vinaya Gaduputi
In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study
JGH Open
gastroparesis
hospitalization
mortality
title In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study
title_full In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study
title_fullStr In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study
title_full_unstemmed In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study
title_short In‐hospital mortality in gastroparesis population and its predictors: A United States‐based population study
title_sort in hospital mortality in gastroparesis population and its predictors a united states based population study
topic gastroparesis
hospitalization
mortality
url https://doi.org/10.1002/jgh3.12500
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