S0509 Urgent Care, Emergency Visits and Hospitalizations of Gastroparesis Patients at a Tertiary Referral Academic Motility Center

INTRODUCTION: Gastroparesis (Gp) is associated with high morbidity and may require acute care in the form of urgent care, emergency visits, and/or hospitalizations. We aimed to determine rates and predictors of urgent care, emergency visits, and hospitalizations among patients with symptoms (Sx) of Gp. METHODS: We surveyed patients seen at a tertiary referral motility center regarding urgent care, emergency visits, and hospitalizations for both gastroparesis-related and non-gastroparesis related reasons in the prior 6 months, including demographics, socioeconomic information and clinical variables. We performed univariable and multivariable regression analysis to determine predictors for urgent care, emergency visits, and inpatient hospitalization. RESULTS: Of 62 patients (93.5% women, 85.5% Caucasian), the rates of Gp-related urgent care visits, emergency visits, and hospitalizations were 19%, 47%, and 26%, respectively. A large proportion of patients were unable to work (45%), low income (42%), and had Medicare (55%) (Table 1). The rates of Gp-related hospitalization within 6 months were 1 (50%), 2–3 (31.3%), 4 or more (18.8%). The lengths of stay ranged from 1 day (6.3%), 2-3 days (25%), 4–7 days (50%), or more than 7 days (18.8%). Multivariable logistic regression analysis revealed patients aged 45–64 was a significant predictor for Gp-related urgent care utilization (aOR 8.8 (95% CI 1.2–65.4, P 0.03)). There were no significant predictors for gastroparesis-related emergency utilization and low income (