Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization

BACKGROUND: Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose. METHODS: Over 2014–2016, IBD patients were retrospectively stratified into those managed and...

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Autores principales: Lytvyak, Ellina, Sutton, Reed T, Dieleman, Levinus A, Peerani, Farhad, Fedorak, Richard N, Kroeker, Karen I
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Innovations in Care Delivery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802474/
https://www.ncbi.nlm.nih.gov/pubmed/36777757
http://dx.doi.org/10.1093/crocol/otaa080
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author Lytvyak, Ellina
Sutton, Reed T
Dieleman, Levinus A
Peerani, Farhad
Fedorak, Richard N
Kroeker, Karen I
author_facet Lytvyak, Ellina
Sutton, Reed T
Dieleman, Levinus A
Peerani, Farhad
Fedorak, Richard N
Kroeker, Karen I
author_sort Lytvyak, Ellina
collection PubMed
description BACKGROUND: Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose. METHODS: Over 2014–2016, IBD patients were retrospectively stratified into those managed and not managed by pathways. Patient data were extracted, and negative binomial regression used to predict the annual number of ED visits. RESULTS: There was a difference of 30.7 ED visits/100 patients between managed and nonmanaged at 12 months (P < 0.001). The incidence rate ratio of total ED visits occurring annually was 0.750 (P = 0.008). CONCLUSIONS: Management with IBD care pathways reduces ED utilization.
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spelling pubmed-98024742023-02-10 Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization Lytvyak, Ellina Sutton, Reed T Dieleman, Levinus A Peerani, Farhad Fedorak, Richard N Kroeker, Karen I Crohns Colitis 360 Innovations in Care Delivery BACKGROUND: Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose. METHODS: Over 2014–2016, IBD patients were retrospectively stratified into those managed and not managed by pathways. Patient data were extracted, and negative binomial regression used to predict the annual number of ED visits. RESULTS: There was a difference of 30.7 ED visits/100 patients between managed and nonmanaged at 12 months (P < 0.001). The incidence rate ratio of total ED visits occurring annually was 0.750 (P = 0.008). CONCLUSIONS: Management with IBD care pathways reduces ED utilization. Oxford University Press 2020-10-13 /pmc/articles/PMC9802474/ /pubmed/36777757 http://dx.doi.org/10.1093/crocol/otaa080 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of Crohn's & Colitis Foundation. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Innovations in Care Delivery
Lytvyak, Ellina
Sutton, Reed T
Dieleman, Levinus A
Peerani, Farhad
Fedorak, Richard N
Kroeker, Karen I
Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization
title Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization
title_full Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization
title_fullStr Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization
title_full_unstemmed Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization
title_short Management of Inflammatory Bowel Disease Patients With Clinical Care Pathways Reduces Emergency Department Utilization
title_sort management of inflammatory bowel disease patients with clinical care pathways reduces emergency department utilization
topic Innovations in Care Delivery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802474/
https://www.ncbi.nlm.nih.gov/pubmed/36777757
http://dx.doi.org/10.1093/crocol/otaa080
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