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All-cause hospitalizations for inflammatory bowel diseases:Can the reason for admission provide information on inpatient resource use?A study from a large veteran affairs hospital

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Journal of Medical Colleges of PLA(China) 2016年第3期31卷 124-128页

作者： Ashish Malhotra K.C.Mandip Aasma Shaukat thomas rector Division of Gastroenterology Department of MedicineMinneapolis VA Medical CenterUniversity of Minnesota Center of Innovation Minneapolis VA Medical Center Department of Medicine University of Minnesota

Background:Inflammatory bowel diseases(IBDs) are group of chronic inflammatory illnesses with a remitting and relapsing course that may result in appreciable morbidity and high medical costs secondary to repeated *** study's objectives were to identify the reasons for hospitalization among patients with IBDs,and compare inpatient courses and readmission rates for IBD-related admissions versus non-IBD-related ***:A retrospective chart review was performed on all patients with IBD admitted to the Minneapolis Veterans Affairs(VA) Medical Center between September 2010 and September ***:A total of 111 patients with IBD were admitted during the 2-year study *** flares/complications accounted for 36.9% of the index *** events comprised the second most common cause of admissions(14.4%) in IBD *** with an index admission directly related to IBD were significantly younger and had developed IBD more ***,the IBD admission group had significantly more gastrointestinal endoscopies and abdominal surgeries,and was more likely to be started on medication for IBD during the index *** median length of stay(LOS) for the index hospitalization for an IBD flare or complication was 4(2–8) days compared with 2(1–4) days for the other patients(P=0.001).A smaller percentage of the group admitted for an IBD flare/complication had a shorter ICU stay compared with the other patients(9.8% vs.15.7%,respectively); however,their ICU LOSs tended to be longer(4.5 vs.2.0 days,respectively,P=0.17).Compared to the other admission types,an insignificantly greater percentage of the group whose index admission was related to an IBD flare or complication had at least one readmission within 6 months of discharge(29% versus 21%; P=0.35).The rate of admission was approximately 80% greater in the group whose index admission was related to an IBD flare or complication compared to the other types of admis

关键词： Inflammatory bowel diseases Veteran affairs Readmission rate

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大学保护语言多样性(英文)

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北京论坛（2007）文明的和谐与共同繁荣——人类文明的多元发展模式

作者： thomas K.J.Wilhelmsson Vice-rector University of Helsinki

Universities today find themselves at the crossroads between two tasks:on the one hand the university should attempt to reach the cutting edge of research as part of an internationalised research community in as many ...

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