Patterns of emergency admission for IBD patients over the last 10 years in Lothian, Scotland: a retrospective prevalent cohort analysis

Summary Objective It is unclear how the compounding prevalence of inflammatory bowel disease (IBD) has translated into the causes and rates of hospitalisation, particularly in an era of increased biologic prescribing. We aimed to analyse these trends in a population‐based IBD cohort over the last 10...

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Published in:Alimentary pharmacology & therapeutics 2022-07, Vol.56 (1), p.67-76
Main Authors: Lyons, Mathew, Derikx, Lauranne A. A. P., Fulforth, James, McCall, Sophie, Plevris, Nikolas, Jenkinson, Philip W., Kirkwood, Kathryn, Siakavellas, Spyros, Lucaciu, Laura, Constantine‐Cooke, Nathan, Arnott, Ian D., Henderson, Paul, Russell, Richard K., Wilson, David C., Lees, Charlie W., Jones, Gareth‐Rhys
Format: Article
Language:English
Subjects:
Aged
Biological Products
Chronic Disease
Cohort analysis
Cohort Studies
Emergency Hospitalisation for IBD
epidemiology
Hospitalization
Humans
infection
Infections
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - epidemiology
Inflammatory Bowel Diseases - therapy
Original
Patients
Retrospective Studies
Scotland - epidemiology
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Summary:Summary Objective It is unclear how the compounding prevalence of inflammatory bowel disease (IBD) has translated into the causes and rates of hospitalisation, particularly in an era of increased biologic prescribing. We aimed to analyse these trends in a population‐based IBD cohort over the last 10 years. Design The Lothian IBD registry is a complete, validated, prevalent database of IBD patients in NHS Lothian, Scotland. ICD‐10 coding of hospital discharge letters from all IBD patient admissions to secondary care between 1 January 2010 and 31 December 2019 was interrogated for admission cause, with linkage to local/national data sets on death and prescribed drugs. Results Fifty‐seven per cent (4673/8211) of all IBD patients were admitted to secondary care for >24 h between 1 January 2010 and 31 December 2019. In patients 60 years (19% of admissions). Three per cent (243/8211) of IBD patients accounted for 50% of the total IBD bed‐days over the study period. Age‐standardised IBD admission rates fell from 39.4 to 25.5 admissions per 100,000 population between 2010 and 2019, an average annual percentage reduction of 3% (95% CI −4.5% to −2.1%, p 
ISSN:0269-2813
1365-2036
DOI:10.1111/apt.16867