Date of Presentation

5-2-2024 12:00 AM

College

Rowan-Virtua School of Osteopathic Medicine

Poster Abstract

Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the United States and has been found to play a significant role in cardiovascular disease risk through several mechanisms including dyslipidemia, insulin resistance, coagulability, and inflammation. Acute-on-chronic liver disease continues to contribute to worse health outcomes via acute hepatitis.

Methods: This case-control study investigated the relationship between NAFLD and acute hepatitis using data extracted from the National Inpatient Sample (NIS) Database for the years 2019 and 2020. The NIS was searched for hospitalizations of adult patients with acute hepatitis with and without NAFLD. Using multivariate logistics to adjust for confounders, the primary outcome was inpatient mortality, and the secondary outcomes were hospital length of stay (LOS), and total hospital charges.

Results:This study included 208,145 patients with acute hepatitis, of which 12,406 patients had NAFLD. The study found a statistically significant higher inpatient mortality (OR:1.041, 95% CI:1.1.036-1.046, p

Conclusion: In this nationally representative population‐based case-control study, acute hepatitis with NAFLD was associated with higher inpatient mortality and worse outcomes compared to those with acute hepatitis alone.

Keywords

NAFLD, acute hepatitis, hospital mortality, inpatient mortality, health outcomes, Non-alcoholic Fatty Liver Disease, Liver Diseases, Hepatitis

Disciplines

Digestive System | Digestive System Diseases | Gastroenterology | Medicine and Health Sciences | Nutritional and Metabolic Diseases | Pathological Conditions, Signs and Symptoms

Document Type

Poster

DOI

10.31986/issn.2689-0690_rdw.stratford_research_day.7_2024

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May 2nd, 12:00 AM

Clinical Outcomes for Patients with NAFLD and Acute Hepatitis: An Analysis of the National Inpatient Sample

Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the United States and has been found to play a significant role in cardiovascular disease risk through several mechanisms including dyslipidemia, insulin resistance, coagulability, and inflammation. Acute-on-chronic liver disease continues to contribute to worse health outcomes via acute hepatitis.

Methods: This case-control study investigated the relationship between NAFLD and acute hepatitis using data extracted from the National Inpatient Sample (NIS) Database for the years 2019 and 2020. The NIS was searched for hospitalizations of adult patients with acute hepatitis with and without NAFLD. Using multivariate logistics to adjust for confounders, the primary outcome was inpatient mortality, and the secondary outcomes were hospital length of stay (LOS), and total hospital charges.

Results:This study included 208,145 patients with acute hepatitis, of which 12,406 patients had NAFLD. The study found a statistically significant higher inpatient mortality (OR:1.041, 95% CI:1.1.036-1.046, p

Conclusion: In this nationally representative population‐based case-control study, acute hepatitis with NAFLD was associated with higher inpatient mortality and worse outcomes compared to those with acute hepatitis alone.

 

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