title: Emergency department visits related to cirrhosis: a retrospective study of the nationwide emergency department sample 2006 to 2011.
abstract: There is scant literature about cirrhosis and its associated complications in a non-hospitalized population.To study the epidemiology of cirrhosis-associated Emergency Department visits in the US.Estimates were calculated in patients' ≥18 years using the Nationwide Emergency Department Sample.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; P = 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.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.
authors.affiliation: From the Division of Gastroenterology, Hepatology and Motility, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS (CP, MO, RG, PKP, JCO, MOV, TR); and Medicine Institute Center for Value Based Care Research, Cleveland Clinic, Cleveland, OH (AD).
authors.forename: Chaitanya
authors.initials: C
authors.lastname: Pant
authors.forename: Mojtaba
authors.initials: M
authors.lastname: Olyaee
authors.forename: Richard
authors.initials: R
authors.lastname: Gilroy
authors.forename: Prashant K
authors.initials: PK
authors.lastname: Pandya
authors.forename: Jody C
authors.initials: JC
authors.lastname: Olson
authors.forename: Melissa
authors.initials: M
authors.lastname: Oropeza-Vail
authors.forename: Tarun
authors.initials: T
authors.lastname: Rai
authors.forename: Abhishek
authors.initials: A
authors.lastname: Deshpande
mesh_terms: D000328:Adult; D000368:Aged; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology