학술논문

Acute kidney injury is associated with higher mortality and healthcare costs in hospitalized patients with cirrhosis
Document Type
article
Source
Annals of Hepatology, Vol 18, Iss 5, Pp 730-735 (2019)
Subject
Length of stay
National inpatient sample
Mortality
ICD-9
Hospital charges
Specialties of internal medicine
RC581-951
Language
English
ISSN
1665-2681
Abstract
Introduction and Objectives: AKI is known to be associated with increased risk of mortality, however limited information is available on how AKI impacts healthcare costs and resource utilization in hospitalized patients with cirrhosis. Previous studies have had variable definitions of AKI, resulting in inconsistent reporting of the true impact of AKI in patients with cirrhosis. Methods: Data from the Nationwide Inpatient Sample (NIS) which contains data from 44 states and 4378 hospitals, accounting for over 7 million discharges were analyzed. The inclusion data were all discharges in the 2012 NIS dataset with a discharge diagnosis of cirrhosis. Results: A total of 32,605 patients were included in the analysis, incidence of AKI was 12.12% in patients with cirrhosis. Crude mortality was much higher for patients with cirrhosis and AKI (14.9% vs. 1.8%, OR 9.42, p