Hospital mortality over time in patients with specific complications of cirrhosis

作者: Mercedes Vergara , Montse Clèries , Emili Vela , Montserrat Bustins , Mireia Miquel

DOI: 10.1111/LIV.12137

关键词:

摘要: Hospital mortality secondary to cirrhosis is high. Aim To evaluate hospital in patients admitted for specific complications of over time. Material and methods Registry-data from Administrative Inpatient Dataset acute care hospitals were collected at discharge 2003 2010. Inclusion criteria as follows: admissions where one the diagnoses was reason admission a complication (ascites, encephalopathy, hepatorenal syndrome haemorrhage varices, bacterial spontaneous peritonitis). Analysis variance used comparisons quantitative variables Chi-square qualitative variables. Logistic regression performed identify risk factors associated with mortality; Hosmer Lemeshow test applied calibration ROC curve discrimination respectively. Results A total 12,671 analysed; 67.7% men. Mean hospitalization stay 10.9 (SD 9.2) days most frequent causes encephalopathy (44.2%) ascites (30.9%). Global 11.6%. showed that once all had been adjusted, conveyed highest death (49.2%; OR = 8.1(95%CI:6.6–9.9). Risk also increased by comorbidities older age. period 2006–2010 27% inferior 2003–2005. The area under (AUROC) 0.77 (95%CI 0.76–0.78). Conclusions Hospital result high, but has declining recent years.

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