P4270 - Demographics of Nationwide IBD-Related Hospital Admissions

Dominic Amakye, MBChB¹, Kwabena O. Adu-Gyamfi, MD², Elizabeth Soladoye, MD³, Rosemary Ansah, MD⁴, Humberto Sifuentes, MD^2
1Piedmont Athens Regional Medical Center, Athens, GA; ²Augusta University, Augusta, GA; ³Piedmont Athens Regional Hospital, Athens, GA; ⁴WellSpan, Frederick, MD

Introduction: The incidence of inflammatory bowel disease (IBD) has increased across all demographics over the past decades, with the largest increase among non-Hispanic blacks, followed by non-Hispanic whites and other ethnic groups. IBD significantly impacts quality of life and healthcare utilization. Despite the 2020 US Census reporting increased population diversity, demographic information on hospitalized IBD patients remains limited. We sought to obtain an updated overview of the demographics of hospitalized IBD patients in the US.

Methods: We analyzed the 2020 US National Inpatient Sample (NIS) Database, using ICD-10 codes to identify IBD-related admissions (ulcerative colitis: K51, Crohn's disease: K50) among patients ≥18 years in the US, stratified by geographic region (North East, Midwest, South, West). We examined age, gender, race, and hospital length of stay using STATA 18. Statistical tests included T-tests for continuous variables and chi-squared tests for categorical associations, with a significance level of 0.05.

Results: 62,959 adults were admitted in 2020 for IBD-related reasons such as an acute flare, or other disease-related symptoms or complications. 53.37% were females and 46.63% were males. 18-45-year-olds constituted the majority age group. The racial demographics comprised non-Hispanic whites (70.1%), Black (14.9%), Hispanic (8.6%), Asian Pacific(1.4%), American Native(0.4%), and other race(4.6%). The average length of stay was 4.93 days (95% CI 4.8-5.0). Findings are summarized in Table 1.

Discussion: This study examines nationwide IBD-related admissions in 2020, highlighting implications for patient quality of life, morbidity, and healthcare expenditure. Notably, 14.9% of admitted IBD patients were Black, surpassing expected proportions for this demographic nationally. Factors such as healthcare access disparities, delayed diagnosis, and treatment effectiveness may contribute to this disparity. Racial demographics generally mirrored regional populations. Age and gender distributions aligned with previous studies, with higher admission rates among women in southern states. These findings underscore the need for informed resource allocation and patient-centered interventions to address the evolving IBD landscape and improve outcomes


Disclosures:


Dominic Amakye, MBChB¹, Kwabena O. Adu-Gyamfi, MD², Elizabeth Soladoye, MD³, Rosemary Ansah, MD⁴, Humberto Sifuentes, MD². P4270 - Demographics of Nationwide IBD-Related Hospital Admissions, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.