ArticleTechniques in coloproctology2018
Trends in hospital admission for acute diverticulitis in Italy from 2008 to 2015.
Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Genetic, epigenetic and environmental factors in diverticular disease: systematic review.BJS open · 2024Pooled it
- Sigmoid resection with primary anastomosis versus the Hartmann's procedure for perforated diverticulitis with purulent or fecal peritonitis: a systematic review and meta-analysis.International journal of colorectal disease · 2020Pooled it
- The Trends of Complicated Acute Colonic Diverticulitis-A Systematic Review of the National Administrative Databases.Medicina (Kaunas, Lithuania) · 2019Pooled it
- Cost-effectiveness of sigmoid resection with primary anastomosis or end colostomy for perforated diverticulitis: an analysis of the randomized Ladies trial.The British journal of surgery · 2020Trial
- Progression rate of diverticular disease and associated risk factors: results from 5-year longitudinal prospective nationwide diverticular disease registry (REMAD).Internal and emergency medicine · 2026Article
- The DICA endoscopic score and the CODA clinical score may predict the severity of acute diverticulitis and the risk of hospitalisation: results from an international multicentre prospective cohort study.Techniques in coloproctology · 2026Article
- Predictive factors for conservative treatment failure of acute complicated diverticulitis: a single-center retrospective analysis.Updates in surgery · 2026Article
- Influence of Patient Gender on In-Hospital Mortality: A Population-Based Cross-Sectional Study.Nursing open · 2025Article
- Rifaximin in diverticulosis and diverticular disease: a national survey among Italian gastroenterologists and general practitioners.Internal and emergency medicine · 2024Article
- Acute diverticulitis management: evolving trends among Italian surgeons. A survey of the Italian Society of Colorectal Surgery (SICCR).Updates in surgery · 2024Article
- Trends in Diverticular Disease Hospitalizations and Racial Disparities in Outcomes Across the United States.Cureus · 2024Article
- Unmet needs in treatment of symptomatic uncomplicated diverticular disease and prevention of recurrent acute diverticulitis: a scoping review.Therapeutic advances in gastroenterology · 2024Article
- The Impact of Educational Status on the Occurrence of Colonic Diverticula: Insights from an Austrian Cohort Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024Article
- Conservative management of complicated colonic diverticulitis: long-term results.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Patients with Diverticular Disease Have Different Dietary Habits Compared to Control Subjects: Results from an Observational Italian Study.Nutrients · 2023Observational
- The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly.World journal of emergency surgery : WJES · 2022Review
- Machine Learning Model for Outcome Prediction of Patients Suffering from Acute Diverticulitis Arriving at the Emergency Department-A Proof of Concept Study.Diagnostics (Basel, Switzerland) · 2021Article
- Article
- A Hospital Protocol for Decision Making in Emergency Admission for Acute Diverticulitis: Initial Results from Small Cohort Series.Medicina (Kaunas, Lithuania) · 2020Article
- Management of acute perforated diverticulitis with generalized peritonitis: is this the end of the Hartmann's era?Techniques in coloproctology · 2020Article
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Authors and funding
12 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEpidemiological studies in Western countries have documented an increase of hospitalizations for acute diverticulitis (AD) but Italian evidence is scarce. The aim of the present study was to analyse the trend in hospitalization for AD, including in-hospital mortality, in Italy from 2008 to 2015.
methodsThrough the Italian Hospital Information System of the National Health System, we identified diverticulitis of the colon as a discharge diagnosis. Age- and gender-specific rates of hospitalization for AD were assessed.
results174,436 hospitalizations were identified with an increasing rate in 2008-2015 from 39 to 48 per 100,000 inhabitants (p < 0.001). The rate of hospitalization was higher for women, but the increasing trend over time was even more pronounced among men (mean increase per year 3.9% and 2.1% among men and women, respectively) (p < 0.001). The increased rate of hospitalization was accounted for by patients less than 70 years old, especially those under 60. In contrast, the hospitalization rate for older patients (age ≥ 70 years) was higher but remained unchanged during the study period. The number of patients with one hospital admissions was significantly higher than the number of patients with at least two hospitalizations (p < 0.001) and both groups showed a significant and comparable increase year by year. The overall in-hospital mortality rate increased from 1.2 to 1.5% (p = 0.017). More specifically, the increase was observed in patients at their first hospitalization [from 1 to 1.4% (mean increase per year of 3%, p = 0.003)]. An increase in mortality was most evident among women (from 1.4 to 1.8% p = 0.025) and in older patients [age 70-79 years from 1.2 to 1.7% (p = 0.034), ≥ 80 years from 2.9 to 4% (p = 0.001)].
conclusionsIn Italy, between 2008 and 2015, the rate of hospitalization for AD has been constantly increasing due to the hospitalization of younger individuals, especially men. There was a significant increase of in-hospital mortality especially among women, elderly and during the first hospitalization. These findings suggest the need for increased awareness and clinical skills in the management of this common condition.
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