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- Title
In-Hospital Mortality Among a Cohort of Cirrhotic Patients Admitted to a Tertiary Hospital.
- Authors
Alsultan, Mohammad A.; Alrshed, Rashed S.; Aljumah, Abdulrahman A.; Baharoon, Salim A.; Arabi, Yaseen M.; Aldawood, Abdulaziz S.
- Abstract
Background/Aim: To determine the mortality rate in a cohort of hospitalized patients with cirrhosis and examine their resuscitation status at admission. Materials and Methods: A retrospective chart review was conducted of patients with cirrhosis who were admitted to a tertiary care hospital in Riyadh, Saudi Arabia, from January 1, 2009, to December 31, 2009. Results: We reviewed 226 cirrhotic patients during the study period. The hospital mortality rate was 35%. A univariate analysis revealed that worse outcomes were seen in patients with advanced age or who had worse child-turcotte-pugh (CPT) scores, worse model for end-stage liver disease (MELD) scores, low albumin and high serum creatinine. Using a multivariate analysis, we found that advanced age (P=0.004) and high MELD (P=0.001) scores were independent risk factors for the mortality of cirrhotic patients. The end-oflife decision were made in 34% of cirrhotic patients, and the majority of deceased patients were "no resuscitation" status (90% vs. 4%, P<0.001). Conclusions: The relatively high mortality in cirrhotic patients admitted for care in a tertiary hospital, Saudi Arabia was comparable to that reported in the literature. Furthermore, end-of-life discussions should be addressed early in the hospitalization of cirrhotic patients.
- Subjects
SAUDI Arabia; ACADEMIC medical centers; ANALYSIS of variance; CLASSIFICATION; CONFIDENCE intervals; EPIDEMIOLOGY; CIRRHOSIS of the liver; MORTALITY; MULTIVARIATE analysis; HEALTH outcome assessment; LOGISTIC regression analysis; DATA analysis; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Saudi Journal of Gastroenterology, 2011, Vol 17, Issue 6, p387
- ISSN
1319-3767
- Publication type
Article
- DOI
10.4103/1319-3767.87179