P0026 - Impact of Comorbidities and Socioeconomic Factors in 30-Day Readmissions for Acute Pancreatitis Using National Database

Raj Mohan Ram Mohan, MD, Sai Reshma Magam, MD, Sai Greeshma Magam, MD, Melvin Joy, MD, Dilman Natt, MD, Leeza Pannikodu, MD, Winghang Lau, MD, Abhishek Tadikonda, MD, Jiten Desai, MD, Krishnaiyer Subramani, MD, Paul Mustacchia, MD, MBA
Nassau University Medical Center, East Meadow, NY

Introduction: This analysis delves into 30-day readmissions for acute pancreatitis, focusing on the role of patient's comorbidities and socioeconomic status, as indicated by ZIP code quartiles. By examining how these factors correlate with readmission rates, our study aims to uncover patterns that could guide more personalized and effective treatment strategies, potentially reducing readmissions and optimizing patient care within diverse populations.

Methods: The Nationwide Readmission Database (HCUP) was queried for 2019-2022. We collected data on hospital readmissions of 1,048,576 adults readmitted within 30 days. Inclusion criteria included a principal diagnosis of acute pancreatitis. The primary outcome was 30-day hospital readmission rates. We gathered data on age, gender, income, and various comorbidities like diabetes, COPD, and heart failure using ICD codes. Correlation and regression analyses followed, identifying significant predictors of readmissions. This methodology underscores the importance of focusing on specific health conditions to mitigate readmission risks.

Results: A total of 1048576 patients were included in the study, of which 4806 (.45%) had pancreatitis. 62.7% were female and 37.3% male, with an average age of 66.2 years. Regression analysis indicated that age and gender did not significantly predict readmission rates, with p-values of 0.615 and 0.388, respectively. Similarly, socioeconomic status based on ZIP code income quartiles showed no significant impact (p=0.138). However, clinical factors like diabetes (p=0.012) and COPD (p=0.016) significantly increased readmission likelihood, while kidney and heart failure decreased it (p=0.042 and p=0.021, respectively). These findings suggest that specific comorbidities, rather than demographic factors, are more relevant in predicting readmissions among these patients.

Discussion: Our study reveals that comorbidities like diabetes and COPD significantly influence 30-day readmission rates for acute pancreatitis, overshadowing the impact of demographics such as age, gender, and socioeconomic status. This finding challenges prevailing views on the influence of economic factors on health outcomes and underscores the need for targeted healthcare interventions. By focusing on specific health issues, clinical management can more effectively reduce readmissions in acute pancreatitis, highlighting the importance of tailored treatment over broad demographic approaches.



Disclosures:


Raj Mohan Ram Mohan, MD, Sai Reshma Magam, MD, Sai Greeshma Magam, MD, Melvin Joy, MD, Dilman Natt, MD, Leeza Pannikodu, MD, Winghang Lau, MD, Abhishek Tadikonda, MD, Jiten Desai, MD, Krishnaiyer Subramani, MD, Paul Mustacchia, MD, MBA. P0026 - Impact of Comorbidities and Socioeconomic Factors in 30-Day Readmissions for Acute Pancreatitis Using National Database, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.