Outpatient Management and Antibiotic Use in Acute Diverticulitis
Outpatient observation for acute diverticulitis (Hinchey 1a) and no antibiotics resulted in lower recurrence rates and shorter hospital stays compared to inpatient treatment and antibiotics. Recurrence, hospital admissions, and mortality rates were similar between outpatient and inpatient management. Future studies are needed to confirm the effectiveness of observation-only and antibiotics-free approaches in managing uncomplicated acute diverticulitis.
Accounting for emergency colon surgery changed infection-risk rankings: safety-net hospitals were no longer more likely to land in the highest-risk group.
Among older adults having urgent abdominal surgery, robotic operations were linked to fewer severe complications and more discharges home, but not shorter stays after adjustment.