Table 2.
Demographics of Kentucky inpatient discharges for inflammatory bowel disease, 2016-2019.
| Demographics | |||||
|---|---|---|---|---|---|
| Attribute | Appalachian (n = 2739) |
non-Appalachian (n = 6350) |
Overall (n = 9089) |
P | |
| Inflammatory Bowel Disease | |||||
| Crohn’s disease | 1958 (71.5%) | 4357 (68.6%) | 6315 (69.5%) | 0.0064* | |
| Ulcerative colitis | 799 (29.2%) | 2042 (32.2%) | 2841 (31.3%) | 0.0048* | |
| Gender | |||||
| Female | 1545 (56.4%) | 3742 (58.9%) | 5287 (58.2%) | 0.0253* | |
| Race | |||||
| White | 2661 (97.2%) | 5352 (84.3%) | 8013 (88.2%) | ||
| Black | 43 (1.6%) | 849 (13.4%) | 892 (9.8%) | ||
| Hispanic | 18 (0.7%) | 78 (1.2%) | 96 (1.1%) | <0.0001* | |
| Asian or Pacific Islander | 2 (0.1%) | 36 (0.6%) | 38 (0.4%) | ||
| Native American | 0 (0%) | 4 (0.1%) | 4 (<0.01%) | ||
| Other | 15 (0.6%) | 31 (0.5%) | 46 (0.5%) | ||
| Payor | |||||
| Medicaid | 812 (29.7%) | 1531 (24.1%) | 2343 (25.8%) | <0.0001* | |
| Medicare | 1021 (37.3%) | 1992 (31.4%) | 3013 (33.2%) | <0.0001* | |
| Commercial | 800 (29.2%) | 2579 (40.6%) | 3379 (37.2%) | <0.0001* | |
| Other | 106 (3.9%) | 248 (3.9%) | 354 (3.9%) | 0.936 | |
| Inflammatory Bowel Disease Risk Factors | |||||
| Attribute |
Appalachian
(n = 2739) |
Non-Appalachian
(n = 6350) |
Overall
(n = 9089) |
P | |
| Tobacco Use | |||||
| Overall | 727 (26.5%) | 1481 (23.3%) | 2208 (24.3%) | 0.001* | |
| Crohn’s disease | 608 (31.1%) | 1182 (27.1%) | 1790 (28.4%) | 0.0014* | |
| Ulcerative colitis | 124 (15.5%) | 309 (15.1%) | 433 (15.2%) | 0.7963 | |
| Obesity | |||||
| Overall | 303 (11.1%) | 638 (10.1%) | 941 (10.4%) | 0.1449 | |
| Crohn’s disease | 198 (10.1%) | 413 (9.5%) | 611 (9.7%) | 0.431 | |
| Ulcerative colitis | 106 (13.3%) | 233 (11.4%) | 339 (11.9%) | 0.17 | |
| Opioid Use Disorder | |||||
| Overall | 83 (3%) | 109 (1.7%) | 192 (2.1%) | <0.0001* | |
| Crohn’s disease | 70 (3.6%) | 92 (2.1%) | 162 (2.6%) | 0.0007* | |
| Ulcerative colitis | 14 (1.8%) | 18 (0.9%) | 31 (1.1%) | 0.0480* | |
| Inflammatory Bowel Disease-Related Diagnoses | |||||
| Attribute |
Appalachian
(n = 2739) |
Non-Appalachian
(n = 6350) |
Overall
(n = 9089) |
P | |
| Intestinal abscess | |||||
| Overall | 127 (4.6%) | 343 (5.4%) | 470 (5.2%) | 0.1308 | |
| Crohn’s disease | 103 (5.3%) | 273 (6.3%) | 376 (6%) | 0.1184 | |
| Ulcerative colitis | 25 (3.1%) | 72 (3.5%) | 97 (3.4%) | 0.6003 | |
| Anal abscess | |||||
| Overall | 45 (1.6%) | 109 (1.7%) | 154 (1.7%) | 0.803 | |
| Crohn’s disease | 40 (2%) | 93 (2.1%) | 133 (2.1%) | 0.8146 | |
| Ulcerative colitis | 6 (0.8%) | 18 (0.9% | 24 (0.8%) | 0.7325 | |
| Intestinal fistula | |||||
| Overall | 22 (0.8%) | 77 (1.2%) | 99 (1.1%) | 0.0845 | |
| Crohn’s disease | 20 (1%) | 73 (1.7%) | 93 (1.5%) | 0.046* | |
| Ulcerative colitis | 2 (0.3%) | 4 (0.2%) | 6 (0.2%) | 0.7763 | |
| Intestinal perforation | |||||
| Overall | 30 (1.1%) | 85 (1.3%) | 115 (1.3%) | 0.341 | |
| Crohn’s disease | 26 (1.3%) | 67 (1.5%) | 93 (1.5%) | 0.5219 | |
| Ulcerative colitis | 4 (0.5%) | 18 (0.9%) | 22 (0.8%) | 0.2978 | |
| Abdominal pain | |||||
| Overall | 128 (4.7%) | 276 (4.4%) | 404 (4.4%) | 0.4879 | |
| Crohn’s disease | 99 (5.1%) | 207 (4.8%) | 306 (4.9%) | 0.6014 | |
| Ulcerative colitis | 32 (4%) | 73 (3.6%) | 105 (3.7%) | 0.5849 | |
| Intestinal obstruction | |||||
| Overall | 245 (8.9%) | 591 (9.3%) | 836 (9.2%) | 0.5835 | |
| Crohn’s disease | 201 (10.3%) | 494 (11.3%) | 695 (11%) | 0.2078 | |
| Ulcerative colitis | 44 (5.5%) | 99 (4.9%) | 143 (5%) | 0.4703 | |
| Postoperative malabsorption | |||||
| Overall | 37 (1.4%) | 112 (1.8%) | 149 (1.6%) | 0.1549 | |
| Crohn’s disease | 31 (1.6%) | 95 (2.2%) | 126 (2%) | 0.1165 | |
| Ulcerative colitis | 6 (0.8%) | 17 (0.8%) | 23 (0.8%) | 0.8273 | |
| Mortality | |||||
| Overall | 14 (0.5%) | 29 (0.5%) | 43 (0.5%) | 0.7285 | |
| Crohn’s disease | 6 (0.3%) | 13 (0.3%) | 19 (0.3%) | 0.9568 | |
| Ulcerative colitis | 8 (1%) | 16 (0.8%) | 24 (0.8%) | 0.5686 | |
| Inflammatory Bowel Disease-Related Procedures | |||||
| Attribute |
Appalachian
(n = 2739) |
Non-Appalachian
(n = 6350) |
Overall
(n = 9089) |
P | |
| Surgery | |||||
| Overall | 676 (24.7%) | 1408 (22.2%) | 2084 (22.9%) | 0.0091* | |
| Crohn’s disease | 497 (25.4%) | 1083 (24.9%) | 1580 (25%) | 0.655 | |
| Ulcerative colitis | 180 (22.5%) | 331 (16.2%) | 511 (18%) | <0.0001* | |
| Endoscopy | |||||
| Overall | 661 (24.1%) | 1633 (25.7%) | 2294 (25.2%) | 0.1108 | |
| Crohn’s disease | 374 (19.1%) | 888 (20.4%) | 1262 (20%) | 0.2394 | |
| Ulcerative colitis | 299 (37.4%) | 768 (37.6%) | 1067 (37.6%) | 0.9257 | |
*Denotes statistical significance.