Around the time of transition to adult care, adolescents and young adults (AYAs) are at risk for illness exacerbations and increasing health-care consumption. The goal of this study was to identify risk variables that indicate a poor transition for AYA with inflammatory bowel illness. In 2016 and 2017, the study conducted a retrospective file review of patients with childhood inflammatory bowel disease who were moved to adult treatment from our hospital, collecting demographic, psychosocial, and illness-specific data. Post-transfer data were collected from the adult provider via health care information exchange and entered into the electronic medical record. Suboptimal transition was characterised as either a return to paediatric care or the need for care escalation within one year of transfer. According to their models, a suboptimal transition is associated with several risk factors, including any mental health diagnosis, a history of medication nonadherence, public insurance, a higher Physician Global Assessment score at the time of transition, and low Pediatric Crohn Disease Activity Index scores. Higher haemoglobin levels throughout the changeover period were protective. Age, disease duration, and drug type at the time of transition were not shown to be linked with transition outcomes.
AYA with public insurance, a history of mental illness, medication nonadherence, and signs of active disease may be at a higher risk of suboptimal and poor health outcomes during transition.
