Cited by 164Abdominal vascular conditions and treatmentsAortic Thrombus and EmbolismPeripheral Artery Disease Management

A Population-based Study of Incidence, Risk Factors, Clinical Spectrum, and Outcomes of Ischemic Colitis

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Yadav, Siddhant, Dave, Maneesh, Edakkanambeth Varayil, Jithinraj, Harmsen, W. Scott, Tremaine, William J., Zinsmeister, Alan R., Sweetser, Seth R., Melton, L. Joseph +2 more·2015·Clinical Gastroenterology and Hepatology

Abstract

Background & aims Little is known about progression of ischemic colitis (IC) among unselected patients. We aimed to estimate the incidence, risk factors, and natural history of IC in a population-based cohort in Olmsted County, Minnesota.Methods We performed a retrospective population-based cohort and nested case-control study of IC. Each IC case was matched to 2 controls from the same population on the basis of sex, age, and closest registration number. Conditional logistic regression, the Kaplan-Meier method, and proportional hazards regression were used to assess comorbidities, estimate survival, and identify characteristics associated with survival, respectively.Results Four hundred forty-five county residents (median age, 71.6 years; 67% female) were diagnosed with IC from 1976 through 2009 and were matched with 890 controls. The age-adjusted and sex-adjusted incidence rates of IC nearly quadrupled from 6.1 cases/100,000 person-years in 1976-1980 to 22.9/100,000 in 2005-2009. The odds for IC were significantly higher among subjects with atherosclerotic diseases; odds ratios ranged from 2.6 for individuals with coronary disease to 7.9 for individuals with peripheral vascular disease. Of IC cases, 59% survived for 5 years (95% confidence interval, 54%-64%), compared with 90% of controls (95% confidence interval, 88%-92%). Age >40 years, male sex, right-sided colon involvement, concomitant small bowel involvement, and chronic obstructive pulmonary disease were all independently associated with mortality (P < .05).Conclusions The incidence of IC increased during the past 3 decades in a population-based cohort in Minnesota. IC typically presents in older patients with multiple comorbidities and is associated with high in-hospital mortality (11.5%) and rates of surgery (17%).

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Crossref · 10.1016/j.cgh.2014.07.061

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  • The overall age-adjusted and sex-adjusted incidence of colon ischemia was about 6.1 cases per 100000 person-years in 1976-1980.

    “One study showed that the overall age-adjusted and sex-adjusted incidence of CI was about 6.1 cases per 100000 person-years in 1976-1980 and it increased by about 4-fold to 22.9/100000 person-years over the course of few decades (2005-2009)[1].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [1]

  • The incidence of colon ischemia increased about 4-fold to 22.9 per 100000 person-years in 2005-2009.

    “One study showed that the overall age-adjusted and sex-adjusted incidence of CI was about 6.1 cases per 100000 person-years in 1976-1980 and it increased by about 4-fold to 22.9/100000 person-years over the course of few decades (2005-2009)[1].”

    From Ischemic bowel disease in 2021. (2021) · cites this paper as [1]

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Authors
Yadav, S., Dave, M., Edakkanambeth Varayil, J., Harmsen, W. S., Tremaine, W. J., Zinsmeister, A. R., Sweetser, S. R., Melton, L. J., Sandborn, W. J., & Loftus, E. V.
Affiliations
  • Mayo Clinic (US)
  • University of California San Diego (US)
Corresponding author
Loftus, Edward V.
Venue
Clinical Gastroenterology and Hepatology
Publisher
Elsevier BV
Published
2015-04
Volume
13
Issue
4
Pages
731-738.e6
ISSN
1542-3565 (ISSN-L)
OpenAlex
W2045982028
Cited by
164
References
33
Citations by year
2026: 11 · 2025: 20 · 2024: 10 · 2023: 18 · 2022: 11 · 2021: 19 · 2020: 13 · 2019: 28 · 2018: 8 · 2017: 9 · 2016: 6 · 2015: 11
FWCI
8.53
Type
journal article
Language
en
Open access
Locations
  • Clinical Gastroenterology and Hepatology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (R01AG034676)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic Thrombus and Embolism
  • Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
Keywords
ischemic colitis, incidence, risk factors, natural history (disease), survival, mortality, atherosclerosis, coronary disease, peripheral vascular disease, chronic obstructive pulmonary disease, small bowel involvement, comorbidities, Olmsted County, Minnesota
MeSH terms
Adult, Age Factors, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Minnesota, Retrospective Studies, Risk Factors, Cohort Studies, Comorbidity, Incidence, Survival Analysis, Case-Control Studies, Treatment Outcome, Colitis, Ischemic, Young Adult

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