Factors contributing to hospitalization for XXXX exacerbations.

@entity1 @entity6 @entity1887 @entity281 @entity701 @entity7623 @entity2259 @entity293 @entity1851
BACKGROUND: The clinical course of @entity1 with @entity7623 is characterized by symptomatic exacerbations often necessitating hospitalization. AIMS: To investigate precipitating factors leading to hospitalization for exacerbation of symptoms in @entity1 with @entity7623 . METHODS: This was a retrospective review of 103 admissions (63 @entity1 ) for @entity7623 exacerbation. RESULTS: Etiologic categories for gastroparetic @entity1 were @entity6 (43%), idiopathic (39%), and post surgical (8%). Poor glycemic control was present in 36%, @entity281 in 19% (12 @entity293 and two @entity2259 ), and noncompliance with or intolerance of, medications in six and 5% of @entity1 , respectively. Fasting morning @entity701 concentrations were \3 mcg/dl in 9%. Elevated erythrocyte sedimentation rate (ESR) and @entity1851 (CRP) were seen in 34 of 65 (52%) and 11 of 50 @entity1 (22%), respectively. No identifiable @entity281 was found in 74 and 45% of @entity1 with elevated ESR and elevated CRP, respectively. ESR and CRP were higher when @entity1 were symptomatic necessitating hospitalization (26.2 +/- 6.6 mm/h and 1.6 +/- 1.0 mg/l) compared with when they were seen in outpatient follow-up and less symptomatic (10.3 +/- 2.9 mm/h and 0.3 +/- 0.1 mg/l; P = 0.0001 and P = 0.211, respectively). CONCLUSIONS: Poor glycemic control, @entity281 , noncompliance with/intolerance of medications, and, perhaps, @entity1887 were contributory factors leading to hospitalizations of gastroparetic @entity1 . Hospitalized @entity1 with @entity7623 exacerbations had elevated ESR and CRP levels. Although many @entity1 with elevated inflammatory markers had evidence of @entity281 , some did not. Assessment of inflammatory markers may help indicate those gastroparetic @entity1 in whom a search for @entity281 should be undertaken.
