Emergency Department Visits Related to Cirrhosis. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Pant, Chaitanya; Olyaee, Mojtaba; Gilroy, Richard; Pandya, Prashant K.; Olson, Jody C.; Oropeza-Vail, Melissa; Rai, Tarun; Deshpande, Abhishek; Chiu., King-Wah
• Is Part Of: Medicine. Volume 94:Issue 1(2015)
• Publication Date: 2015-01
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000000308
• Languages: English
• ISSNs: 0025-7974

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Abstract</title> <p>There is scant literature about cirrhosis and its associated complications in a non-hospitalized population.</p> <p>To study the epidemiology of cirrhosis-associated Emergency Department visits in the US.</p> <p>Estimates were calculated in patients' ≥18 years using the Nationwide Emergency Department Sample.</p> <p>The number of visits associated with an International Classification of Diseases-9 diagnosis code of cirrhosis increased non-significantly from 23.81/10, 000 population (2006) to 23.9/10, 000 population (2011; <italic>P</italic> = 0.05). A majority of these patients (75.30%) underwent hospital admission, the greatest risk factor for this was the presence of ≥3 comorbidities (adjusted odds ratio 30.8; 95% Confidence Interval 30.4–31.2). Infection was the most frequent concurrent complicating diagnosis associated with cirrhosis (20.1%). There was a decreased incidence in most of the complicating conditions except for hepatorenal syndrome and spontaneous bacterial peritonitis.</p> <p>Our results indicate a stable trend for cirrhosis-associated Emergency Department visits from 2006 to 2011. Further studies are required to investigate the increased incidence of spontaneous bacterial peritonitis and hepatorenal renal syndrome in the cirrhotic population.</p> </sec> </abstract>