The benefit of paracentesis on hospitalized adults with cirrhosis and ascites

Background and Aim: The aim of this study is to assess paracentesis utilization and outcomes in hospitalized adults with cirrhosis and ascites. Methods: The 2011 Nationwide Inpatient Sample was used to identify adults, non‐electively admitted with diagnoses of cirrhosis and ascites. The primary endp...

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Published in:Journal of gastroenterology and hepatology 2016-05, Vol.31 (5), p.1025-1030
Main Authors: Gaetano, John N, Micic, Dejan, Aronsohn, Andrew, Reddy, Gautham, Te, Helen, Reau, Nancy S, Jensen, Donald
Format: Article
Language:English
Subjects:
Aged
ascites
Ascites - economics
Ascites - etiology
Ascites - mortality
Ascites - therapy
cirrhosis
cost
Cost Savings
Cost-Benefit Analysis
Databases, Factual
Female
Hospital Costs
Hospital Mortality
Hospitalization - economics
Humans
Length of Stay
Liver Cirrhosis - complications
Liver Cirrhosis - economics
Liver Cirrhosis - mortality
Male
Middle Aged
mortality
nationwide inpatient sample
paracentesis
Paracentesis - adverse effects
Paracentesis - economics
Paracentesis - mortality
Paracentesis - utilization
Quality Indicators, Health Care
Risk Factors
spontaneous bacterial peritonitis
Time Factors
Treatment Outcome
United States
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Summary:Background and Aim: The aim of this study is to assess paracentesis utilization and outcomes in hospitalized adults with cirrhosis and ascites. Methods: The 2011 Nationwide Inpatient Sample was used to identify adults, non‐electively admitted with diagnoses of cirrhosis and ascites. The primary endpoint was in‐hospital mortality. Variables included patient and hospital demographics, early (Day 0 or 1) or late (Day 2 or later) paracentesis, hepatic decompensation, and spontaneous bacterial peritonitis. Results: Out of 8 023 590 admissions, 31 614 met inclusion criteria. Among these hospitalizations, approximately 51% (16 133) underwent paracentesis. The overall in‐hospital mortality rate was 7.6%. There was a significantly increased mortality among patients who did not undergo paracentesis (8.9% vs 6.3%, P 
ISSN:0815-9319
1440-1746
DOI:10.1111/jgh.13255