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Clinical factors influencing hospitalization in IBD patients Authors & Coauthors: Dr. Bogdan Mazilu, Institutul de Gastroenterologie ș i Hepatologie, Iaș i Dr. Roxana Maxim, Institutul de Gastroenterologie ș i Hepatologie, Iaș i Dr. Conf. Alina Pleș a, Institutul de Gastroenterologie ș i Hepatologie, Iaș i Abstract: Background and Aims We aimed to identify clinical factors influencing hospitalization in a cross-sectional study including patients diagnosed with IBD (Inflammatory bowel disease) hospitalized in the year 2014. Methods A total of 138 patients with IBD where hospitalized in the Institute of Gastroenterology and Hepatology of St. Spiridon Hospital in Iasi in 2014. A number of 36 patients required more than one admission, summing a total of 185 IBD admissions. Our study included 41 patients with CD(Crohn disease), 91 with UC (ulcerative colitis) and 6 patients with undifferentiated colitis. Results Over the course of the year, our patients have accumulated a total of 1354 days (3.7 years) of hospitalization. Regarding the demographic features of our case population, 84 (61%) were male, 92 (67%) were from urban regions, 85 (62%) were of 40 years or older. UC had on average longer hospitalization (7.1 days/pacient) compared to CD (6.3 days/pacient).Correlating disease activity with average hospitalization period, 33% of the cases where evaluated with moderate activity scores with an average of 5 to 9 days of admission, followed by 26% cases of severe activity with 10 to 31 days of admission. Disease localization associated ileocolic CD(23, 56%) with longer hospitalizations, followed by ileal forms(10, 24%), while UC showed almost equal left-side disease(31, 44%) and extensive disease(28, 40%), but with longer average hospitalization for the later (8.86 days compared to 7.03) Out of 32 intestinal complications, stenosing IBD was more frequent (66%) than the fistulizing form(50%) with hospitalization between 5 and 20 days. Association of CDI (Clostridium difficile infection) increased average patient admission from 6.3 to 7.5 in CD and from 7.1 to 9.57 in UC. Conclusion Clinical and demographic features may influence negatively the average hospital admission for IBD patients, imposing the need for careful approach of preventable risk factors. Keywords: inflammatory bowel disease, hospitalization.