The impact of outpatient clinical care on the survival and hospitalisation rate in patients with alcoholic liver cirrhosis

Majc, Dejan; Tepeš, Bojan

doi:10.1515/raon-2017-0056

Cited by 8 publications

(25 citation statements)

References 25 publications

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“…The majority of admissions to hospitals are estimated to be in age groups of 65 years and above [15]. However, given the increased prevalence of liver cirrhosis at an earlier age, mean age of patients in our study was 58.6 years, which does corroborate with the findings in the other studies [16]. In our study, age was not a predictor of readmission related to liver cirrhosis and this finding is similar to other studies [17].…”

Section: Discussionsupporting

confidence: 92%

“…We compared the reason for hospitalization at their Liver Cirrhosis-Related Readmissions in USA Gastroenterol Res. 2020;13(1): [11][12][13][14][15][16][17][18] index hospitalization to the reason for hospitalization during their subsequent visit (Table 4). Ascites and hepatic encephalopathy were the two most common reasons for hospitalization leading to readmissions.…”

Section: Resultsmentioning

confidence: 99%

“…Studies with larger number of patients and studying broader aspects of readmission are needed to guide future interventions to reduce readmission rate and Liver Cirrhosis-Related Readmissions in USA Gastroenterol Res. 2020;13(1): [11][12][13][14][15][16][17][18] health care costs related to cirrhosis readmissions.…”

Section: Discussionmentioning

confidence: 99%

“…Liver Cirrhosis-Related Readmissions in USA Gastroenterol Res. 2020;13(1): [11][12][13][14][15][16][17][18] Efforts have been made to identify the risk factors for readmissions related to other diseases like congestive heart failure (CHF) [11]. Various evidence-based interventions targeting those at risk for CHF-related readmissions have been implemented to attain success in reducing the burden of readmission [12].…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Liver Cirrhosis-Related Readmissions in the Largest Ethnic Minority in United States

Patel¹,

Balar²,

Irigela³

et al. 2020

Gastroenterol Res

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Background: There are very limited data available on 30-day readmissions for ethnic minority patients with cirrhosis. The aim of the study was to identify the risk factors for 30-day readmission in ethnic minority patients admitted for cirrhosis. Methods: We did a retrospective review of 1,373 electronic medical records of patients with cirrhosis admitted from 2009 to 2011. Several parameters including alcohol use history, discharge location and cirrhosis severity scores-model for end-stage liver disease (MELD) score and Child-Pugh-Turcotte (CPT) at first admission were assessed. Statistical analysis was done using Chi-square test and t-test for categorical and continuous variables, respectively. Results: There were 79 patients in the readmission group (63% male, 54% Hispanics and 22% African Americans) and 104 in the no readmission group (62% male, 58% Hispanics and 24% African Americans). History of alcohol use within a month prior to admission (55% vs. 33%, P = 0.002), platelet count at discharge (89,000 vs. 124,000, P = 0.003), and discharge with more than seven medications per day (7.3 vs. 5.2, P = 0.005) were identified as risk factors for readmissions by multivariate analysis. Conclusion: Platelet count, active alcohol use and more than seven medications at discharge are predictors of readmission. These parameters can guide future interventions to reduce readmission rate and health care costs related to cirrhosis readmissions.

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Section: Discussionsupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk Factors for Liver Cirrhosis-Related Readmissions in the Largest Ethnic Minority in United States

Patel¹,

Balar²,

Irigela³

et al. 2020

Gastroenterol Res

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“…Токсичний вплив етанолу та ацетальдегіду призводить до активації процесів ПОЛ і зростання кількості вільних радикалів, які пошкоджують ліпіди і структуру клітинних мембран, а також до прискорення "старіння" еритроцитів та посилення гемолізу, що, в свою чергу, сприяє розвитку гіпоксії та анемії [11]. Ми дослідили вплив пектину та референс-препаратів на кількість еритроцитів та гемоглобіну у щурів за хронічної алкогольної інтоксикації (табл.…”

Section: результати обговоренняunclassified

The apple pectin influence on biochemical and hematological parameters in animals with chronic alcohol intoxication

Sheremeta¹,

Haynuk²

2018

Rep. of Vinnytsia Nation. Med. Univ.

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Enterosorbents and prebiotics are included in treatment protocols for somatic disorders in chronic alcohol intoxication. Considering on relevant properties of pectin, the purpose of the study was to investigate its effect on biochemical and hematological parameters of experimental animals in chronic alcoholic intoxication. The study was conducted on 30 white outbred rats (males) weighing 180-200 g, which injected 30% ethanol into the stomach (control), animals in experimental groups after 30 minutes, got apple pectin at a dose of 0.2 g/100 g of body weight and reference preparations — activated charcoal and silicon dioxide — by 0.25 g and 0.05 g, respectively for 11 days. The statistical analysis was performed by Microsoft Exel and Statistica 5.5 (Multiple Regression) software using variation statistics methods. Research results. Changes in lipid metabolism were manifested by an increase in serum cholesterol of alcoholic animals without treatment by 29.8% compared with intact (p˂0.05). The use of pectin and reference drugs significantly reduced cholesterol levels. In the group with the use of pectin, this indicator was 36% lower, activated charcoal — by 19%, silicon dioxide — by 26.4% (p˂0,05) compared to untreated animals, at the same time, practically did not differ from intact animals. The level of triacylglycerols increased in all experimental groups and, although, it significantly differed from the intact, at the same time, it was essentially lower in all groups of treated animals than in non-treated ones (p˂0.05). A normalizing effect of pectin and silicon dioxide on the number of erythrocytes and hemoglobin levels comparing to alcoholated and treated activated charcoal animals also were shown (p˂0.05). The apple pectin curative effect on lipid and protein metabolism, as well as on the content of erythrocytes and hemoglobin in the blood of animals with chronic alcohol intoxication, practically equaled to standard enterosorbents, and on some indicators exceeds their effect, which may also be due to partial neutralization of ethanol.

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Understanding Preferences Toward Virtual Care: A Pre-COVID Mixed Methods Study Exploring the Perspectives of Patients with Chronic Liver Disease

Hyde

Watt

Carbonneau

et al. 2022

Telemedicine and e-Health

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Background: Traditionally, outpatient visits for those with chronic liver disease (CLD) have been delivered in-person with the patient traveling to a centralized location to see the health care provider. The use of virtual care in health care delivery has been gaining popularity across a variety of patient populations, especially within the COVID-19 context. Performed before COVID-19, the aim of the present study was to explore the perspectives of patients with CLD toward the use of virtual care with their liver specialists. Methods: A cross-sectional, mixed methods study was used to conduct this work. Results: A total of 101 patients with CLD participated in this study. Participants had a mean age of 54.5 years (range 19-87 years). Quantitative analysis revealed that 86% were willing to attend a virtual visit with their liver specialist in the future. There was a significant relationship between both age and income level and acceptance of virtual care. The themes emerging from the qualitative analysis included: (1) past experiences attending in-person visits, (2) perspectives on the use of virtual visits, and (3) perceived challenges of virtual visits. Conclusions: Although there are many potential benefits of virtual care to both the patient and the health care system, there are instances (older age, low income level) when inperson care may be preferred by patients. A tailored approach that is mindful of the individual patient's health status, ease of access to technology, and preferences must be considered when offering virtual care. These findings are of particular relevance during COVID-19, an era that has forced us into the virtual space.

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The impact of outpatient clinical care on the survival and hospitalisation rate in patients with alcoholic liver cirrhosis

Cited by 8 publications

References 25 publications

Risk Factors for Liver Cirrhosis-Related Readmissions in the Largest Ethnic Minority in United States

Risk Factors for Liver Cirrhosis-Related Readmissions in the Largest Ethnic Minority in United States

The apple pectin influence on biochemical and hematological parameters in animals with chronic alcohol intoxication

Understanding Preferences Toward Virtual Care: A Pre-COVID Mixed Methods Study Exploring the Perspectives of Patients with Chronic Liver Disease

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