The impact of race and gender on the outcomes of patients with acetaminophen-induced acute liver failure: propensity score-matched analysis of the NIS database.
Eur J Gastroenterol Hepatol
; 35(9): 1049-1060, 2023 09 01.
Article
em En
| MEDLINE
| ID: mdl-37505978
ABSTRACT
BACKGROUND:
Acetaminophen overdose is one of the leading causes of acute liver failure in the USA. In this study, we investigated the impact of race and gender on the hospital outcomes of patients admitted with acetaminophen-induced acute liver failure.METHODS:
From the National Inpatient Sample between the years 2016 and 2019, patients with acetaminophen-induced acute liver failure were selected and stratified based on gender (Male and Female) and race (White, Black and Hispanic). The cases were propensity score-matched to controls (male and Whites) and were compared along the following endpoints mortality, length of stay, hospitalization costs, and hepatic complications.RESULTS:
Among patients with acetaminophen-induced acute liver failure, females experienced higher rates of mortality (16.60% vs. 11.70%, Pâ =â 0.004) and clinical illness, including hypotension (11.80% vs. 7.15%, Pâ =â 0.002) and ventilator use (40.80% vs. 30.00%, Pâ <â 0.001). When stratified by race, Black patients had longer hospital stays (Black vs. White, 8.76 days vs. 7.46 days, Pâ =â 0.03). There were no significant differences in outcomes between Hispanic and White patients. No significant differences in mortality were shown between races.CONCLUSION:
We found that females had a higher rate of mortality and incidence of hepatic encephalopathy compared to males. When stratified by race, Blacks were shown to have longer hospital stay. Females and racial minorities were also affected by special healthcare needs after discharge compared to their male and White cohorts, respectively.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Falência Hepática Aguda
/
Acetaminofen
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article