Retrospective observational study examines the link between Hinchey scores and length of stay in acute diverticulitis patients, suggesting management implications.
Aim The study aims to identify the median length of stay of the patients presenting with acute diverticulitis and the relation between the various Hinchey scores and length of stay at a busy colorectal department in a tertiary referral centre in NHS. Methods Retrospective observational study. Registered as a QI project with the audit department at JCUH. Inclusion criteria Inclusion criteria were Inclusion criteria – Patients admitted to the general surgery department, with CT confirmed diverticulitis, at JCUH from March 2023 to October 2024. A total of 189 patients’ data was evaluated. A total of 189 patients were evaluated. Statistics was performed on StatsDirect3 software. Results 66 male and 123 female patients were included. Median length of stay was 9 days. 66 patients presented with Hinchey 1a with a median length of stay of 6 days, 32 patients with Hinchey 1b with 8 days median LOS. 58 patients had Hinchey 2 with 11 days median LOS. 30 patients had Hinchey 3- and 12-days median LOS. 2 patients had Hinchey 4 and 23 days as median LOS. 66 patients with Hinchey 1a had conservative management. 9 patients with Hinchey 1b had conservative and 23 had IR drainage. 8 patients with Hinchey 2 had conservative management, 38 had IR drainage and 12 had surgery. 1 patient with Hinchey 3 had IR drainage and 30 had surgery. None of the patients with Hinchey 4 had a surgery as they were deemed unfit for surgery and palliated.
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Mohammed Arifuzaman (2025) studied this question.
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