Predictors of Early Readmissions in Hospitalized Patients With Gastroparesis: A Nationwide Analysis

Abstract

Background/AimsGastroparesis is a chronic gastrointestinal disorder that frequently presents with symptoms that are difficult to manage, necessitating frequent hospitalizations. We sought to determine the predictors of early readmission due to gastroparesis based on etiology. MethodsWe identified all adults discharged with a principal diagnosis of gastroparesis after hospitalization from the 2014 Nationwide Readmission Database. We compared etiology wise (diabetes, post-surgical, and idiopathic) early readmission. Multivariate regression analyses were performed to identify significant predictors of 30-day readmission. ResultsA total of 12 689 patients were identified, 30.7% diabetic, 2.6% post-surgical, and 66.7% were idiopathic. Patients with diabetic gastroparesis were more likely to be readmitted within 30 days than idiopathic (adjusted odds ratio [aOR], 0.81; 95% confidence interval [CI], 0.69-0.94) and post-surgical gastroparesis (aOR, 0.58; 95% CI, 0.34-0.98). Pyloroplasty was associated with less likelihood of 30-day readmission (aOR, 0.45; 95% CI, 0.20-0.97).

Gastric Alimetry®testing and healthcare economic analysis in nausea and vomiting syndromes

“…7,8 Factors contributing to this include complex diagnostic pathways, high rates of hospitalisation, trial and error therapies, implementation of nutritional support, and invasive therapies. 7,9,10 When diagnostic uncertainty arises, this commonly leads to a 'process of exclusion', which can take several years, after which patients still frequently face high rates of repeated confirmatory tests in practice. Such tests often do not contribute further to management but incur further costs.…”