Table 3.
Comparison of in-hospital medical and surgical outcomes before and after implementation of specialized inpatient IBD care
| Outcome | Year 1 (General gastroenterology care) (n= 196) | Year 2 (Specialized IBD care) (n= 212) | p-value |
|---|---|---|---|
| Length of stay (in days) (Mean(SD)) | 6.4 (5.6) | 7.2 (6.1) | 0.17 |
| Use of intravenous corticosteroids | 60 | 51 | 0.09 |
| New initiation of biologic therapy | 23 | 16 | 0.11 |
| Time to new biologic initiation (in days) (mean (SD)) | 5.7 (4.7) | 5.6 (5.1) | 0.95 |
| Accelerated biologic dose† | 4 | 13 | 0.24 |
| High-dose biologic therapy† | 9 | 26 | 0.04* |
| New initiation of IMM | 7 | 6 | 0.84 |
| Cyclosporine therapy | 0.5 | 1 | 1.00 |
| Antiviral therapy | 5 | 2 | 0.08 |
| Any IBD-related surgical procedure | 13 | 19 | 0.07 |
| Time to surgery (in days) (mean(SD)) | 7.6 (5.6) | 4.5 (5.7) | 0.04* |
| Bowel resection | 6 | 7 | 0.84 |
| Time to resection (in days) (mean(SD)) | 9.8 (5.0) | 9.1 (7.4) | 0.77 |
| Time to non-resective operative intervention (in days) (mean(SD)) | 5.3 (1.6) | 2.1 (2.1) | 0.01 |
All figures represent percentages unless indicated otherwise
SD – standard deviation; IMM – immunomodulator
- Among those receiving biologic therapy
p ≤ 0.05