Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Healthcare Burden of Chronic Liver Disease

Gastroenterology; ePub 2018 May 23; Asrani, et al

Compared to selected other chronic disease, patients with chronic liver disease (CLD) had increasing rates of hospitalization, longer hospital stays, more readmissions, and less access to post-acute care. Researchers collected data from a large healthcare system in Texas on hospitalizations related to CLD (n=27,783), chronic heart failure (CHF; n=60,415), and chronic obstructive pulmonary disease (COPD; n=34,199) from January 1, 2004 through December 31, 2013. They calculated annual hospitalization rates (per 100,000) and compared hospital course, inpatient mortality, ancillary services, and readmissions. Among the findings:

  • Compared to patients with CHF or COPD, patients with CLD were significantly younger.
  • During the study period, the rate of CLD-related hospitalization increased by 92% compared to 6.7% for CHF and 48.8% for COPD.
  • Patients with CLD had longer hospital stays.
  • A higher proportion of patients with CLD died or were discharged to hospice, and a smaller proportion had access to post-acute care.

Citation:

Asrani SK, Kouznetsova M, Ogola G, et al. Increasing healthcare burden of chronic liver disease compared to other chronic diseases, 2004-2013. [Published online ahead of print May 23, 2018]. Gastroenterology. doi:10.1053/j.gastro.2018.05.032.