In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital
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 Riy...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | The Saudi Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=6;spage=387;epage=390;aulast=Alsultan |
| _version_ | 1798045041062576128 |
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| author | Mohammad A Alsultan Rashed S Alrshed Abdulrahman A Aljumah Salim A Baharoon Yaseen M Arabi Abdulaziz S Aldawood |
| author_facet | Mohammad A Alsultan Rashed S Alrshed Abdulrahman A Aljumah Salim A Baharoon Yaseen M Arabi Abdulaziz S Aldawood |
| author_sort | Mohammad A Alsultan |
| collection | DOAJ |
| description | 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-of-life 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. |
| first_indexed | 2024-04-11T23:14:10Z |
| format | Article |
| id | doaj.art-5e2ddebfa94b4e14a394f2dc0a8fe939 |
| institution | Directory Open Access Journal |
| issn | 1319-3767 1998-4049 |
| language | English |
| last_indexed | 2024-04-11T23:14:10Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Saudi Journal of Gastroenterology |
| spelling | doaj.art-5e2ddebfa94b4e14a394f2dc0a8fe9392022-12-22T03:57:40ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492011-01-0117638739010.4103/1319-3767.87179In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary HospitalMohammad A AlsultanRashed S AlrshedAbdulrahman A AljumahSalim A BaharoonYaseen M ArabiAbdulaziz S AldawoodBackground/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-of-life 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.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=6;spage=387;epage=390;aulast=AlsultanCirrhosisMELD scoremortality |
| spellingShingle | Mohammad A Alsultan Rashed S Alrshed Abdulrahman A Aljumah Salim A Baharoon Yaseen M Arabi Abdulaziz S Aldawood In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital The Saudi Journal of Gastroenterology Cirrhosis MELD score mortality |
| title | In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital |
| title_full | In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital |
| title_fullStr | In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital |
| title_full_unstemmed | In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital |
| title_short | In-hospital mortality among a cohort of cirrhotic patients admitted to a Tertiary Hospital |
| title_sort | in hospital mortality among a cohort of cirrhotic patients admitted to a tertiary hospital |
| topic | Cirrhosis MELD score mortality |
| url | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=6;spage=387;epage=390;aulast=Alsultan |
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