A Population-based Analysis of Emergent Vs. Elective Hospital Admissions for an Intrathoracic Stomach

Introduction: Large scale population based analyses of the demographics and management and healthcare resource use in patients with an intrathoracic stomach are largely unknown. This issue has become even more important with the aging of the population. Our objective was to estimate the magnitude of the problem and to assess the use of hospital resources in elective versus emergent admissions of patients with an intrathoracic stomach in a large population based study.
Methods and Procedures: The New York Statewide Planning and Research (SPARCS) administrative database was queried for primary ICD-9 codes 553.3 & 552.3 in patients over 18yo. 4,858 hospital admissions were identified over a 5-year period (2002 to 2006). Database variables included type of admission, surgical repair, hospital mortality, length of stay, cost, age, gender, and race.
Results: Approximately 1000 patients are admitted to the hospital each year with a primary diagnosis of intrathoracic stomach, roughly 50 per 1 million of the population in New York State. Over half of those (2562/4858, 52.7%) were emergent admissions. Interestingly, the majority of emergent admissions (1703/2562, 66.5%) were discharged without a surgical intervention. Patients admitted emergently were older (68.0yo vs. 62.1yo, p

Session: Podium Presentation

Program Number: S038

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