Abstract Background We assessed whether baseline endoscopic and clinical scores of diverticular disease (DD) may predict the severity of acute diverticulitis (AD), hospital admission and length of hospital stay (HS). Methods We conducted a 3-year, multicentre, prospective cohort study involving 2215 patients. DD was scored according to the Diverticular Inflammation and Complication Assessment (DICA) classification and the Combined Overview on Diverticular Assessment (CODA) score. Results Higher baseline DICA and CODA scores were associated with increased risk of complicated AD relative risk ratio (RRR) = 5.57; 95% confidence interval (CI): 3.42–9.09 and RRR = 5.17; 95% CI: 3.01–8.88, respectively. An average HS of 4.62 days (95% CI: 2.93–6.27) for DICA 1, 5.57 days (95% CI: 4.29–6.85) for DICA 2 and 6.73 days (95% CI: 5.81–7.64) for DICA 3 was recorded; an average HS of 4.14 days (95% CI: 2.32–5.96) for CODA A, 5.12 days (95% CI: 3.67–6.56) for CODA B and 6.32 days (95% CI: 5.35–7.30) for CODA C was recorded. Conclusions DICA and CODA scores may predict the severity of AD and the length of the HS.
Tursi et al. (Tue,) studied this question.
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