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Thirty-Day Readmission Among Patients with Alcoholic Acute Pancreatitis

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Abstract

Background/Objectives

Alcoholic acute pancreatitis (AAP) comprises the second most common cause of acute pancreatitis in the USA, and there is lack of data regarding 30-day specific readmission causes and predictors. We aim to identify 30-day readmission rate, causes, and predictors of readmission.

Methods

Retrospective analysis of the 2016 National Readmission Database of adult patients readmitted within 30 days after an index admission for AAP.

Results

Totally, 76,609 AAP patients were discharged from the hospital in 2016. The 30-day readmission rate was 12%. The main cause of readmission was another episode of AAP. Readmission was not associated with higher mortality (1.3% vs. 1.2%; P = 0.21) or prolonged length of stay (5.2 vs. 5.0 days; P = 0.06). The total health care economic burden was $354 million in charges and $90 million in costs. Independent predictors of readmission were having Medicaid insurance, a Charlson comorbidity index score ≥ 3, use of total parenteral nutrition, opioid abuse disorder, prior pancreatic cyst, chronic alcoholic pancreatitis, and other chronic pancreatitis. Obesity was associated with lower odds of readmission.

Conclusion

Readmission rate for AAP is high and its primary cause are recurrent episodes of AAP. Alcohol and substance abuse pose a high burden on our health care system. Public health strategies should be targeted to provide alcohol abuse disorder rehabilitation and cessation resources to alleviate the burden on readmission, the health care system and to improve patient outcomes.

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Authors and Affiliations

  1. Internal Medicine Department, John Stroger Hospital of Cook County, Rush University, Chicago, IL, USA

    Pedro Palacios Argueta & Ishaan Vohra

  2. Gastroenterology, Hepatology and Nutrition Department, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    Miguel Salazar, John J. Vargo, Prabhleen Chahal & C. Roberto Simons-Linares

  3. Gastroenterology and Hepatology Department, Mayo Clinic Florida, Jacksonville, FL, USA

    Juan E. Corral & Frank J. Lukens

Authors
  1. Pedro Palacios Argueta
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  2. Miguel Salazar
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  3. Ishaan Vohra
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Correspondence to C. Roberto Simons-Linares.

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Argueta, P.P., Salazar, M., Vohra, I. et al. Thirty-Day Readmission Among Patients with Alcoholic Acute Pancreatitis. Dig Dis Sci 66, 4227–4236 (2021). https://doi.org/10.1007/s10620-020-06765-7

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  • DOI: https://doi.org/10.1007/s10620-020-06765-7

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