Trends in Hospitalizations of Children With Inflammatory Bowel Disease Within the United States From 2000 to 2009.

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kiny

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http://www.ncbi.nlm.nih.gov/pubmed/23797749

Trends in Hospitalizations of Children With Inflammatory Bowel Disease Within the United States From 2000 to 2009.

June 2013

Pant C, Anderson MP, Deshpande A, Grunow JE, O'Connor JA, Philpott JR, Sferra TJ.

Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Cleveland, OH

BACKGROUND: The incidence and prevalence of pediatric inflammatory bowel disease (IBD) seems to be increasing in North America and Europe. Our objective was to evaluate hospitalization rates in children with IBD in the United States during the decade 2000 to 2009.

METHODS: We analyzed cases with a discharge diagnosis of Crohn disease (CD) and ulcerative colitis (UC) within the Healthcare Cost and Utilization Project Kids' Inpatient Database, Agency for Healthcare Research and Quality.

RESULTS: We identified 61,779 pediatric discharges with a diagnosis of IBD (CD, 39,451 cases; UC, 22,328 cases). The number of hospitalized children with IBD increased from 11,928 to 19,568 (incidence, 43.5-71.5 cases per 10,000 discharges per year; P < 0.001). For CD, the number increased from 7757 to 12,441 (incidence, 28.3-45.0; P < 0.001) and for UC, 4171 to 7127 (15.2-26.0; P < 0.001). Overall, there was a significant increasing trend for pediatric hospitalizations with IBD, CD, and UC (P < 0.001). In addition, there was an increase in IBD-related complications and comorbid disease burden (P < 0.01).

CONCLUSION: There was a significant increase in the number and incidence of hospitalized children with IBD in the United States from 2000 to 2009.
 
He comments on this study saying that the increase in hospitalisations might mean more kids get crohn's disease, but it also might just mean that the disease seen in children is more severe than it used to be, which would translate into more need for hospitalisation.
 
He comments on this study saying that the increase in hospitalisations might mean more kids get crohn's disease, but it also might just mean that the disease seen in children is more severe than it used to be, which would translate into more need for hospitalisation.

Or a combination of those two factors, higher awareness when it comes to IBD, and a more stressful life with ever increasing amounts of bad food that triggers problems more often in kids who have Crohn's.
 

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