PDF(Pubmed)
Abstract：
UNASSIGNED: Individuals who are incarcerated often have limited access to first-line treatment and comprehensive health care. In this study, we aimed to compare the frequency of readmissions among patients with inflammatory bowel disease (IBD) receiving care at a community hospital who were and were not incarcerated at the time of hospitalization.
UNASSIGNED: We analyzed records from Lemuel Shattuck Hospital for all patients admitted between January 1, 2011, and December 31, 2019. Patients with IBD were identified using International Classification of Diseases codes. The primary outcome was all-cause readmission at 1 year following an IBD-related admission. Secondary outcomes were (1) all-cause readmission at 30 days, (2) IBD-related readmission at 30 days, and (3) IBD-related readmission at 1 year. Our indicator of interest was incarceration. Multivariable logistic regression models were built to describe predictors of all-cause readmissions at 1 year.
UNASSIGNED: Among the 6511 individuals hospitalized at Lemuel Shattuck Hospital between 2011 and 2019, 90 individuals (1.4%) had International Classification of Diseases codes for IBD, either ulcerative colitis (n = 44) and/or Crohn\'s disease (n = 39). Half (n = 46) of patients with IBD were incarcerated during hospital admission. Individuals who were incarcerated had a higher rate of all-cause readmissions at 1 year than those who were not incarcerated at the time of hospitalization (76.0% vs 41.5%, P = .005). Multivariable analysis showed patients who were incarcerated had 3.98 (95% confidence interval: 1.39-12.78) increased odds of all-cause readmission within 1 year.
UNASSIGNED: Our results suggest individuals with IBD who are incarcerated may experience worse health outcomes than individuals who are not incarcerated, adding to a body of literature documenting the negative impact of incarceration on health.
UNASSIGNED: We analyzed records from Lemuel Shattuck Hospital for all patients admitted between January 1, 2011, and December 31, 2019. Patients with IBD were identified using International Classification of Diseases codes. The primary outcome was all-cause readmission at 1 year following an IBD-related admission. Secondary outcomes were (1) all-cause readmission at 30 days, (2) IBD-related readmission at 30 days, and (3) IBD-related readmission at 1 year. Our indicator of interest was incarceration. Multivariable logistic regression models were built to describe predictors of all-cause readmissions at 1 year.
UNASSIGNED: Among the 6511 individuals hospitalized at Lemuel Shattuck Hospital between 2011 and 2019, 90 individuals (1.4%) had International Classification of Diseases codes for IBD, either ulcerative colitis (n = 44) and/or Crohn\'s disease (n = 39). Half (n = 46) of patients with IBD were incarcerated during hospital admission. Individuals who were incarcerated had a higher rate of all-cause readmissions at 1 year than those who were not incarcerated at the time of hospitalization (76.0% vs 41.5%, P = .005). Multivariable analysis showed patients who were incarcerated had 3.98 (95% confidence interval: 1.39-12.78) increased odds of all-cause readmission within 1 year.
UNASSIGNED: Our results suggest individuals with IBD who are incarcerated may experience worse health outcomes than individuals who are not incarcerated, adding to a body of literature documenting the negative impact of incarceration on health.
摘要：
■被监禁的人通常获得一线治疗和全面医疗保健的机会有限。在这项研究中,我们的目的是比较在社区医院接受治疗的炎症性肠病(IBD)患者的再入院频率,这些患者在住院时曾被嵌顿或未被嵌顿.
我们分析了LemuelShattuck医院在2011年1月1日至2019年12月31日期间收治的所有患者的记录。使用国际疾病分类代码鉴定IBD患者。主要结果是IBD相关入院后1年的全因再入院。次要结果是(1)30天全因再入院，(2)30天时与IBD相关的再入院，（3）1年时与IBD相关的再入院。我们感兴趣的指标是监禁。建立多变量逻辑回归模型来描述1年时全因再入院的预测因素。
■在2011年至2019年期间在LemuelShattuck医院住院的6511人中，有90人（1.4％）具有IBD的国际疾病分类代码，溃疡性结肠炎（n=44）和/或克罗恩病（n=39）。一半（n=46）的IBD患者在入院期间被监禁。被监禁的人在1年内的全因再入院率高于住院时未被监禁的人（76.0％vs41.5％，P=.005）。多变量分析显示，被监禁的患者在1年内全因再入院的几率增加了3.98（95％置信区间：1.39-12.78）。
我们的结果表明，被监禁的IBD患者的健康状况可能比没有被监禁的人差，增加了大量文献，记录了监禁对健康的负面影响。
我们分析了LemuelShattuck医院在2011年1月1日至2019年12月31日期间收治的所有患者的记录。使用国际疾病分类代码鉴定IBD患者。主要结果是IBD相关入院后1年的全因再入院。次要结果是(1)30天全因再入院，(2)30天时与IBD相关的再入院，（3）1年时与IBD相关的再入院。我们感兴趣的指标是监禁。建立多变量逻辑回归模型来描述1年时全因再入院的预测因素。
■在2011年至2019年期间在LemuelShattuck医院住院的6511人中，有90人（1.4％）具有IBD的国际疾病分类代码，溃疡性结肠炎（n=44）和/或克罗恩病（n=39）。一半（n=46）的IBD患者在入院期间被监禁。被监禁的人在1年内的全因再入院率高于住院时未被监禁的人（76.0％vs41.5％，P=.005）。多变量分析显示，被监禁的患者在1年内全因再入院的几率增加了3.98（95％置信区间：1.39-12.78）。
我们的结果表明，被监禁的IBD患者的健康状况可能比没有被监禁的人差，增加了大量文献，记录了监禁对健康的负面影响。
