BackgroundWe 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).MethodsWe 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.ResultsHigher 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.ConclusionsDICA and CODA scores may predict the severity of AD and the length of the HS.
The DICA endoscopic score and the CODA clinical score may predict the severity of acute diverticulitis and the risk of hospitalisation: results from an international multicentre prospective cohort study / Tursi, A., Piovani, D., Brandimarte, G., Di Mario, F., Figlioli, G., Dumitrascu, D.L., Oliveira, E.C., Papa, V., Papagrigoriadis, S., Stundiene, I., Reichert, M.C., Regula, J., Elisei, W., Picchio, M., Bassotti, G., Bafutto, M., Latella, G., Maconi, G., Bonovas, S., Papa, A., et al.. - In: TECHNIQUES IN COLOPROCTOLOGY. - ISSN 1128-045X. - 30:1(2026). [10.1007/s10151-026-03324-6]
The DICA endoscopic score and the CODA clinical score may predict the severity of acute diverticulitis and the risk of hospitalisation: results from an international multicentre prospective cohort study
Papa V.;Bassotti G.;
2026
Abstract
BackgroundWe 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).MethodsWe 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.ResultsHigher 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.ConclusionsDICA and CODA scores may predict the severity of AD and the length of the HS.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
