Premium
In‐Hospital mortality varies by procedure type among cirrhosis surgery admissions
Author(s) -
Mahmud Nadim,
Fricker Zachary,
Serper Marina,
Kaplan David E.,
Rothstein Kenneth D.,
Goldberg David S.
Publication year - 2019
Publication title -
liver international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.873
H-Index - 110
eISSN - 1478-3231
pISSN - 1478-3223
DOI - 10.1111/liv.14156
Subject(s) - medicine , odds ratio , confidence interval , cirrhosis , retrospective cohort study , abdominal surgery , odds , surgery , logistic regression
Background Patients with cirrhosis have increased peri‐operative mortality risk relative to non‐cirrhotic patients, however, the impact of surgical procedure category on this risk is poorly understood. Methods We performed a retrospective cohort study of cirrhosis surgery admissions using the National Inpatient Sample between 2012 and 2014 to estimate the adjusted odds of in‐hospital mortality by surgical procedure category. Results In‐hospital mortality differed by surgical procedure category. Relative to major orthopedic surgeries, major abdominal surgeries had the highest odds of in‐hospital mortality (odds ratio [OR] 8.27, 95% confidence interval [CI] 5.96‐11.49), followed by major cardiovascular surgeries (OR 3.45, 95% CI 2.33‐5.09). There was also a significant interaction term, whereby elective/non‐elective admission status impacted in‐hospital mortality risk differently for each surgical procedure category ( P < 0.001). Conclusion In‐hospital mortality varies substantially by surgical procedure type. Accounting for procedure type in models may improve risk prediction for peri‐operative mortality in patients with cirrhosis.