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Early Paracentesis Is Associated with Better Prognosis Compared to Late or No-paracentesis in Hospitalized Veterans with Cirrhosis and Ascites by Nilang Patel; Scott Silvey; Jacqueline G. O’Leary; Timothy Morgan; Heather Patton; Shari S. Rogal; Jasmohan S. Bajaj is a Medicine article available to read on EtoBox.
What is Early Paracentesis Is Associated with Better Prognosis Compared to Late or No-paracentesis in Hospitalized Veterans with Cirrhosis and Ascites about?
Guidelines recommend that all hospitalized patients with cirrhosis and ascites receive an early (< 24 h from admission) paracentesis. However, national data are not available regarding compliance with and the consequences of this quality metric. We used the national Veterans Administration Corporate Data Warehouse and validated International Classification of Disease codes to evaluate the rate and subsequent outcomes of early, late, and no paracentesis for patients with cirrhosis and ascites during their first inpatient admission between 2016 and 2019. Of 10,237 patients admitted with a diagnosis of cirrhosis with ascites, 14.3% received an early paracentesis, 7.3% received a late paracentesis, and 78.4% never received a paracentesis. In multivariable modeling, compared with an early paracentesis: both late paracentesis and no-paracentesis were significantly associated with increased odds of acute kidney injury (AKI) development [OR: 2.16 (95% CI, 1.59-2.94) and 1.34 (1.09-1.66), respectively]; intensive care unit (ICU) transfer [OR: 2.43 (1.71-3.47) and2.01 (1.53-2.69), respectively] and inpatient death [OR: 1.54 (1.03-2.29) and 1.42 (1.05-1.93), respectively]. Nationally, only 14
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- Author
- Nilang Patel; Scott Silvey; Jacqueline G. O’Leary; Timothy Morgan; Heather Patton; Shari S. Rogal; Jasmohan S. Bajaj
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)