Analysis of hospital discharge rates due to acute intestinal ischemia in the period 2019-2022 in Chile
DOI:
https://doi.org/10.52611/confluencia.2024.1137Keywords:
Ischemia, Small intestine, Large intestine, Descriptive epidemiology, Chile, HospitalizationAbstract
Introduction: Acute intestinal ischemia is a cause of acute abdomen that is classified according to the portion of the intestine it is affecting into; acute mesenteric ischemia and ischemic colitis. Objetive: To describe the rate of hospital discharges in Chile between 2019-2021. Metodology: Observational and descriptive study about hospital discharges due to acute intestinal ischemia between 2019-2021 in Chile. Data from the Department of Statistics and Health Information. The hospital discharge rate was calculated. No evaluation by an ethics committee was required. Results: During the period an hospital discharge rate of 2,53/100.000 inhabitants was calculated. The highest hospital discharge rate was 2,77/100.000 inhabitants in 2022. The female sex presented a hospital discharge rate of 2,5/100.000 inhabitants and the male sex 2,66/100.000 inhabitants. The age group with the highest hospital discharge rate was 90 years and older with 20,74/100.000 inhabitants. Discussion: During 2020, there was a decrease in hospital discharge rate compared to other years, coinciding with the SARS-CoV-2 pandemic. This decrease is attributed to a decrease in emergency consultations. There was a similar hospital discharge rate in both sexes, in disagreement with the literature. Conclusion: The hospital discharge rate is directly proportional to the patient's age. In the Chilean population it occurs proportionally in both sexes. Studies are needed to compare these results.
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Tendler D, Lamont J. Overview of intestinal ischemia in adults [Internet]. USA: UpToDate; 2024 [citado el 12 de junio 2024]. Disponible en: https://www.uptodate.com/contents/overview-of-intestinal-ischemia-in-adults?source=history_widget
Navas-Campo R, Moreno-Caballero L, Ezponda Casajús A, Muñoz DI. Isquemia mesentérica aguda: Revisión de las principales técnicas y signos radiológicos. Radiol [Internet]. 2020 [citado el 12 de junio 2024];62(5):336-48. Disponible en: http://dx.doi.org/10.1016/j.rx.2020.02.001
Serracant A, Luna A, Hidalgo J, Cánovas G, Fortuño J, Falcó J, et al. Isquemia mesentérica aguda: utilidad de las técnicas de revascularización endovascular. Cir Esp [Internet]. 2015 [citado el 12 de junio 2024];93(9):567-72. Disponible en: http://dx.doi.org/10.1016/j.ciresp.2015.07.001
Kärkkäinen J. Acute mesenteric ischemia: A challenge for the acute care surgeon. Scand J Surg [Internet]. 2021 [citado el 12 de junio 2024];110(2):150-8. Disponible en: http://dx.doi.org/10.1177/14574969211007590
Brunicardi Ch, Andersen D, Billiar T, Dunn D, Kao L, Hunter J, et al. Schwartz’s Principles of Surgery [Internet]. USA: McGraw-Hill Access Medicine; 2014 [citado el 12 de junio 2024]. Disponible en: https://accessmedicine.mhmedical.com/book.aspx?bookid=2576#208296159
Bala M, Kashuk J, Moore E, Kluger Y, Biffl W, Gómez C, et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg [Internet]. 2017 [citado el 12 de junio 2024];12:38. Disponible en: https://doi.org/10.1186/s13017-017-0150-5
Yadav S, Dave M, Edakkanambeth J, Scott W, Tremaine W, Zinsmeister A, et al. A population-based study of incidence, risk factors, clinical spectrum, and outcomes of ischemic colitis. Clin Gastroenterol Hepatol [Internet]. 2015 [citado el 12 de junio 2024];13(4),731-8. Disponible en: https://doi.org/10.1016/j.cgh.2014.07.061
Brandt L, Feuerstadt P, Longstreth G, Scott B. ACG Clinical Guideline: Epidemiology, Risk Factors, Patterns of Presentation, Diagnosis, and Management of Colon Ischemia (CI). Am J Gastroenterol [Internet]. 2015 [citado el 12 de junio 2024];110(1),18-44. Disponible en: https://doi.org/10.1038/ajg.2014.395
Vigorita V, García-Señoráns M, Pellino G, Troncoso P, de San Ildefonso A, Moncada E, et al. Ischemic colitis. Does right colon location mean worst prognosis? Cir Esp [Internet]. 2022 [citado el 12 de junio 2024];100(2):74-80. Disponible en: https://doi.org/10.1016/j.ciresp.2020.12.002
Flynn A, Valentine J. Update on the Diagnosis and Management of Colon Ischemia. Curr Treat Options Gastroenterol [Internet]. 2016 [citado el 12 de junio 2024];14(1),128-39. Disponible en: https://doi.org/10.1007/s11938-016-0074-2
Grubel P, Lamont J, Nandakumar G. Colonic ischemia [Internet]. USA: UpToDate; 2024 [citado el 12 de junio 2024]. Disponible en: https://www.uptodate.com/contents/colonic-ischemia?search=Colonic%20ischemia&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1
Colegio Médico de Chile. El impacto de Covid-19 en el Sistema de Salud y Propuestas para la Reactivación [Internet]. Santiago: COLMED; 2020 [citado el 13 de junio 2024]. Disponible en: https://www.colegiomedico.cl/wp-content/uploads/2020/08/reactivacion-sanitaria.pdf
Toro L, Parra A, Alvo M. Epidemia de COVID-19 en Chile: impacto en atenciones de Servicios de Urgencia y Patologías Específicas. Rev Méd Chile [Internet]. 2020 [citado el 14 de junio 2024];148(4):558-60. Disponible en: http://dx.doi.org/10.4067/s0034-98872020000400558
del Río Solá M, González-Fajardo J, Vaquero C. Isquemia mesentérica aguda. Diagnóstico y tratamiento. Angiol [Internet]. 2015 [citado el 13 de junio 2024];67(2):133-9. Disponible en: http://dx.doi.org/10.1016/j.angio.2014.05.015
Ministerio de Salud de Chile. Encuesta Nacional de Salud 2016-2017 [Internet]. Santiago: Subsecretaría de Salud Pública; 2018 [citado el 13 de junio 2024]. Disponible en: https://goo.gl/oe2iVt
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