SHM Converge Scientific Abstract ePoster Gallery-Temporal Trends and Outcomes of Esophagial Varices With Bleeding in Cirrhotic Patients: A Perspective From National Database

Temporal Trends and Outcomes of Esophagial Varices With Bleeding in Cirrhotic Patients: A Perspective From National Database

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This study examined national trends, risk factors, and outcomes of hospitalizations for bleeding esophageal varices (EVB) among cirrhotic patients in the United States using the National Inpatient Sample from 2007 to 2018. EVB is a serious and often fatal complication of cirrhosis.<br /><br />Among 9,804,819 cirrhosis-related hospitalizations, 462,723 (4.6%) were due to EVB. The proportion of EVB hospitalizations declined over time, from 6.8% in 2007 to 4.4% in 2018. Patients hospitalized with EVB were generally younger and more often male than those admitted for other cirrhosis-related causes.<br /><br />Several factors were associated with higher odds of EVB hospitalization, including male sex, Hispanic, Asian, and Caucasian ethnicity, lower socioeconomic status, residence in the Western U.S., Helicobacter pylori infection, alcoholism, and NSAID use. Older age and African-American ethnicity were linked to lower odds of EVB hospitalization.<br /><br />Outcomes were poor: in-hospital mortality was higher for EVB admissions than for non-EVB cirrhosis admissions (10% vs. 7%). Among EVB patients, 14% were discharged to a facility, and the average length of stay was 6 days.<br /><br />Overall, the study found that although EVB hospitalizations have decreased over time, the condition remains associated with substantial mortality and morbidity. The authors highlight that some identified risk factors are modifiable, suggesting opportunities for prevention and better risk stratification in high-risk cirrhotic patients.

Asset Subtitle

Vrushali Shelar

Meta Tag

Author List Achint Patel, Angel A. Chacko, Hardik Shah, Lac H. Nguyen, Nipa Islam, Satya H. Manda, Sruthi Yeturu, Tsu Jung Yang, Vivek Rayavarapu, Vrushali Shelar

Category Research

Concept Esophageal Varices

Concept Cirrhosis

Concept Hospitalization

Concept Temporal Trend

Concept Patient Demographics

Distinguished Non-Finalist

Presenter Organization Saratov State Medical University, Russia

Presenting Author Vrushali Shelar

Track Outcomes Research

Keywords

esophageal varices bleeding

cirrhosis

hospitalization trends

risk factors

in-hospital mortality

National Inpatient Sample

Helicobacter pylori

NSAID use

alcoholism

United States

Esophageal Varices

Cirrhosis

Hospitalization

Temporal Trend

Patient Demographics