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Impact of liver cirrhosis on ST-elevation myocardial infarction related shock and interventional management,a nationwide analysis

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World Journal of Hepatology 2022年第4期14卷 766-777页

作者： sophia haroon dar Mehek Rahim Davood K Hosseini Khurram Sarfraz Internal Medicine Hackensack University Medical CenterHackensackNJ 07601United States

BACKGROUND Critical care is rapidly evolving with significant innovations to decrease hospital stays and *** our knowledge,there is limited data on factors that affect the length of stay and hospital charges in cirrhotic patients who present with STelevation myocardial infarction-related cardiogenic shock(SRCS).AIM To identify the factors that increase inpatient mortality,length of stay,and total hospital charges in patients with liver cirrhosis(LC)compared to those without *** This study includes all adults over 18 from the National Inpatient Sample 2017 *** study consists of two groups of patients,including SRCS with LC and without *** mortality,length of stay,and total hospital charges are the primary outcomes between the two *** used STATA 16 to perform statistical *** Pearson's chi-square test compares the categorical ***-matched scoring with univariate and multivariate logistic regression generated the odds ratios for inpatient mortality,length of stay,and resource *** This study includes a total of 35798453 weighted hospitalized patients from the 2017 National Inpatient *** two groups are SRCS without LC(n=758809)and SRCS with LC(n=11920).The majority of patients were Caucasian in both groups(67%vs 72%).The mean number of patients insured with Medicare was lower in the LC group(60%vs 56%)compared to the other group,and those who had at least three or more comorbidities(53%vs 90%)were significantly higher in the LC group compared to the non-LC *** mortality was also considerably higher in the LC group(28.7%vs 10.63%).Length of Stay(LOS)is longer in the LC group compared to the non-LC group(9 vs 5.6).Similarly,total hospital charges are higher in patients with LC($147407.80 vs$113069.10,P≤0.05).Inpatient mortality is lower in the early percutaneous coronary intervention(PCI)group(OR:0.79<0.11),however,it is not statistically *** early Impella(OR:1.73<0.

关键词： Gastroenterology Hepatology Liver ST-elevation myocardial infarction Cardiogenic Shock Percutaneous coronary intervention Impella Extracorporeal membrane oxygenation

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