COPD is associated with worse outcomes in ischemic colitis
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Ischemic colitis (IC) occurs when the blood supply of the large intestine becomes compromised. Several cardiovascular conditions, such as coronary artery disease, congestive heart failure, and atrial fibrillation, are well-established risk factors for the development of IC. The study finds, COPD is also associated with worse outcomes in IC.

The aim was to elucidate if the presence of COPD worsened outcomes in patients with IC. The study was published in the International Journal of Colorectal Disease.

Retrospective analysis of patients hospitalized with IC in 2016 was evaluated using the National Inpatient Sample database. Baseline demographic data, length of hospital stay (LOS), total hospital cost/charge, rates of colectomy, and in-hospital mortality were extracted from the database. Categorical variables were compared using the chi-square test and continuous variables were compared using the t-test.

A total of 25,035 patients with IC were identified while 4482 of these patients also had COPD. They found that IC patients with COPD had a longer LOS, higher total hospital charge, higher total hospital cost, higher mortality rate, and higher colectomy rate.

In summary, the presence of COPD portends poor outcomes in patients with IC. This was evidenced by an increased risk of death and increased risk of undergoing colectomy. Given these findings, patients with COPD warrant closer observation.

Source: https://doi.org/10.1007/s00384-021-03935-5
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