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• W3208487671 abstract "Introduction: Whipple disease (WD) is a rare systemic disease that affects the gastrointestinal (GI) system. We used the National Inpatient Sample database to determine the most common reasons for admission in patients with WD, as well as to characterize epidemiologic factors associated with the disease. Methods: Patients with a primary or secondary ICD-10 diagnosis of WD (K90. 81) from 2016-2018 were included. Patients with a diagnosis of pancreatic malignancy were excluded as patients with Whipple procedure mislabeled as WD. Frequency rank procedures were used to determine the most common reasons for hospitalization. Continuous variable and categorical variables were compared between patients with Whipple disease and other hospitalizations using logistic regressions and Pearson chi-squared analysis, respectively. Results: An estimated 490 patients had a diagnosis of WD out of 107,001,355 inpatient encounters, a prevalence of 4.6 per 1 million inpatient encounters. In-hospital mortality of patients with WD was 3.1% (SE = 1.0%).Patients with Whipple disease were significantly older than other hospitalized patients (P < 0.001) with a mean age of 60.2 years (SE = 1.6) compared to 50.0 years (SE = 0.1), respectively (Table 1). Patients were more likely to be male (P < 0.001), with males composing 67.3% of Whipple disease encounters. About a quarter of patients were hospitalized for a gastrointestinal pathology (25.5%), most commonly a nonspecific diagnosis of WD (11.2%), inflammation of gastric mucosa (4.1%), abdominal pain (3.1%), GI obstruction (3.1%) or GI hemorrhage (3.1%), and rarely peritoneal adhesiolysis (1.0%) (Figure 1). Patients with Whipple disease were commonly hospitalized for septicaemia or sepsis (11.2%) or cardiovascular diseases (11.2%). Total joint replacement or revision (4.1%), respiratory disease (8.2%), and diseases of the nervous system (6.1%) were less common reasons for admission (Figure 1). Conclusion: We found that patients hospitalized with WD are older than, and more likely to be male compared to other hospitalized patients. Although gastrointestinal pathology is the most common reason for hospitalization, it is classified as the primary reason for admission in only 25% of inpatient encounters. Outpatient presentation of WD might differ significantly from our presented hospitalized WD data. Further studies are necessary to better understand WD but it is limited by the rarity of the disease.Table 1.: Whipple Disease hospitalizations characteristics and demographics in comparison with other hospitalizations footnote: SE : standard error.Figure 1.: A: Reasons for gastrointestinal admissions in Whipple Disease. B: Reasons for admissions in Whipple Disease." @default.
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• W3208487671 date "2021-10-01" @default.
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• W3208487671 title "S1343 Gastrointestinal and Non-Gastrointestinal Presentation of Hospitalized Patients With Whipple Disease: A Report From the 2016-2018 National Inpatient Sample" @default.
• W3208487671 doi "https://doi.org/10.14309/01.ajg.0000778904.63776.26" @default.
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