S71 Evaluation of the Quality-of-Care Parameters in Patients With Inflammatory Bowel Disease in Brazilian Hospitals

• DOI: 10.14309/01.ajg.0000996028.23348.9c
• Publication Date: 2023-12-14T05:25:24Z
• Authors: Lucy Junka Junka ...; Marcela Maria Sil...; Rogério Serafim P...; Lígia Sassaki; Sandro da Costa F...; Genoile Santana; José Parente; Ornella Sari Cassol; Paulo Gustavo Kotze; Andre Pereira Wes...; Cyrla Zaltman; Anna Luiza Pereir...; Carlos Henrique S...; Ana Paula Hammer ...; Rodrigo Lovatti; Francisco de Assi...; Andrea Vieira; Mauro Bafutto; Abel Quaresma; Manoel Álvaro de ...; Zuleica Barrio Bo...; Juliano Coelho Lu...; Mardem Souza; Caio Cesar Furtad...; Valéria Ferrira M...; Gilmara Pandolfo ...; Livia Medeiros So...; Sinara Mônica de ...; Rogerio Saad-Hossne; Eduardo Garcia Vi...
• Keywords: Pancolitis

Background: There are few data on the quality-of-care for inflammatory bowel disease (IBD) in public, private or mixed hospitals. Aim: To evaluated clinic and quality parameters their association with need ICU death Brazilian Methods: Multicentre study carried out 26 hospitals including 488 admissions of patients IBD were analyzed between June 2021 October 2022. Results: The median stay length was 6 days (0–121). age 38 years (16–87), 265 (54.6%) female; 339 (69.5%) had Crohn’s (CD) 149 (30.5%) ulcerative colitis (UC). In CD group, there structural damage 248 cases (73.2%). UC pancolitis form seen 97 (66%). Charlson Comorbidity Index (CCI) scored at least one point 182 records (37.3%). 307 (62.9%) urgent, 208 (42,6%) remained emergency room (ER) 2 (1-22). Disease activity accounted 58.6% admissions. 153 surgeries (37.5%), 35 (18.1%) postoperative complications. most prescribed drugs biologicals (52.8%) before admission corticosteroids during hospitalization period Red verified 45.3%. Admission to required 55 (11.3%). One hundred nine (22.3%) bacterial infections registered. 16 deaths (3.3%), main cause sepsis (37.5%). CCI 1 best predicted (AUROC 0.588; S 52.7%, E 64.7%) 0.782; 81.3%, 64.2%). intestinal resection (p=0.003; OD= 3.515; 95% IC, 1.516-8.156) infectious complications (p=0.006; 5.605; 2,508- 12,527) associated ICU. Admissions (p=0.013; OD=4,442; IC 1.314-14.358) (p=0.000; OD=10.823; 2.998-39.078) death. ER red lower (p= 0.000). Infection rates similar 0.323). Conclusions: accuracy predicting obtained. Infectious both outcomes. System deficiency more evident public proportion individuals who room. From days, greater agility solving problems found