Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization-Reference-Cited by-同舟云学术

Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization

Published:2020-10-01 Issue:4 Volume:2 Page:
ISSN:2631-827X
Container-title:Crohn's & Colitis 360
language:en
Short-container-title:

Author:

Lytvyak Ellina¹,Sutton Reed T¹^ORCID,Dieleman Levinus A¹,Peerani Farhad¹,Fedorak Richard N¹,Kroeker Karen I¹

Affiliation:

1. Division of Gastroenterology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada

Abstract

Abstract Background Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose. Methods Over 2014–2016, IBD patients were retrospectively stratified into those managed and not managed by pathways. Patient data were extracted, and negative binomial regression used to predict the annual number of ED visits. Results There was a difference of 30.7 ED visits/100 patients between managed and nonmanaged at 12 months (P < 0.001). The incidence rate ratio of total ED visits occurring annually was 0.750 (P = 0.008). Conclusions Management with IBD care pathways reduces ED utilization.

Funder

Crohn's and Colitis Canada

Promoting Access and Care through Centres of Excellence

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology

Link

http://academic.oup.com/crohnscolitis360/advance-article-pdf/doi/10.1093/crocol/otaa080/33875241/otaa080.pdf

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