Diverticulitis - Risk of recurrent admission and death after first emergency admission
Clinical Bottom Line
Diverticulitis - Risk of recurrent admission and death after first emergency admission.
Citation
Farmakis N, Tudor RG & Keighley MRB. The 5-year history of complicated diverticular disease. Ann Surg Oncol 1998;5:265-70
Clinical Question
In patients admitted as an emergency with complications of diverticular disease, what is the risk of a second emergency admission for further complications?
Search Terms
diverticular disease, emergency admission in Medline
The Study
- The Study Patients: patients admitted for first time with emergent complications of diverticulitis
- Prognostic Factor: emergency admission
- The Outcome: death and readmission
| Study Feature | Yes | No | Can't Tell |
|---|---|---|---|
| Well-defined sample at uniform (early) stage of illness? | x | ||
| Follow-up long enough? | x | ||
| Follow-up complete? | x | ||
| Blind and objective outcome criteria? | x | ||
| Adjustment for other prognostic factors? | x | ||
| Validation in an independent "test-set" of patients? | x | x |
The Evidence
| Prognostic Factor | Outcome | Time | Measure | Confidence Interval |
|---|---|---|---|---|
| emergency admission | readmission | 1 year | 2.5% | 0 to 5.3% |
| emergency admission | death from diverticular disease | 1 year | 1.7% | 0 to 3.9% |
Comments
inadequate follow-up (less than 80%)
Expiry Date
Kill or Update by: 2001