SHM Converge Scientific Abstract ePoster Gallery-HOSPITAL AT HOME MANAGEMENT OF ACUTE PANCREATITIS-clinical Characteristics and Outcomes

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This retrospective cohort study compared outcomes for acute pancreatitis managed through Mayo Clinic’s Advanced Care at Home (ACH) program versus traditional brick-and-mortar hospitalization (BaM). Patients treated from October 2020 to June 2024 in ACH were matched 2:1 by age and sex to conventional inpatients at the same sites, yielding 40 ACH patients and 80 BaM patients.<br /><br />The two groups differed in etiology and severity at baseline. ACH managed more idiopathic pancreatitis, while alcohol-related pancreatitis was more common in BaM. Although BaM patients were more likely to have SIRS on admission, ACH still managed infected and necrotizing pancreatitis comparably well. There were no significant differences between groups in peripancreatic fluid collections, pleural effusions, pulmonary infiltrates, necrotizing pancreatitis, or infected pancreatitis.<br /><br />Outcomes were broadly similar. ACH had a longer length of stay than BaM (median 5 vs 3 days). However, ACH had fewer pancreatitis-related procedures, though this difference was not statistically significant. Seven-day readmission was slightly higher in ACH, but 30-day readmission was identical at 5% in both groups. Importantly, ACH had 0% 30-day ED visits compared with 17.5% in BaM. In-program mortality in ACH was 0%, and 30-day mortality was 2.5%, consistent with national pancreatitis mortality rates.<br /><br />Overall, the findings suggest that Hospital-at-Home is a viable alternative to standard inpatient care for acute pancreatitis, with comparable readmission, procedure, and mortality outcomes.

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Tatjana Gavrancic

Meta Tag

Author List Brittany Jackson, Igor Dumic, Jessica Laenger, Margaret R. Paulson, Michael J. Maniaci, Michele Lewis, Tatjana Gavrancic, Wendelyn Bosch

Category Research

Concept Acute Pancreatitis

Concept Hospital-at-Home

Concept Readmission

Concept Mortality

Concept Inpatient Care

Distinguished Non-Finalist

Presenter Organization Mayo Clinic, Jacksonville, Florida

Presenting Author Tatjana Gavrancic

Track Outcomes Research

Keywords

acute pancreatitis

hospital at home

advanced care at home

retrospective cohort study

brick-and-mortar hospitalization

readmission rates

necrotizing pancreatitis

infected pancreatitis

Mayo Clinic

patient outcomes

Acute Pancreatitis

Hospital-at-Home

Readmission

Mortality

Inpatient Care