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| 1 | Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt显示文摘AIM: To evaluate and validate the national trends and predictors of in-patient mortality of transjugular intrahepatic portosystemic shunt(TIPS) in 15 years.METHODS: Using the National Inpatient Sample which is a part of Health Cost and Utilization Project, we identified a discharge-weighted national estimate of 83884 TIPS procedures performed in the United States from 1998 to 2012 using international classification of diseases-9 procedural code 39.1. The demographic, hospital and co-morbility data were analyzed using a multivariant analysis. Using multi-nominal logistic regression analysis, we determined predictive factors related to increases in-hospital mortality. Comorbidity measures are in accordance to the Comorbidity Software designed by the Agency for Healthcare Research and Quality.RESULTS: Overall, 12.3% of patients died during hospitalization with downward trend in-hospitalmortality with the mean length of stay of 10.8 ± 13.1 d. Notable, African American patients(OR = 1.809 vs Caucasian patients, P < 0.001), transferred patients(OR = 1.347 vs non-transferred, P < 0.001), emergency admissions(OR = 3.032 vs elective cases, P < 0.001), patients in the Northeast region(OR = 1.449 vs West, P < 0.001) had significantly higher odds of inhospital mortality. Number of diagnoses and number of procedures showed positive correlations with in-hospital death(OR = 1.249 per one increase in number of procedures). Patients diagnosed with acute respiratory failure(OR = 8.246), acute kidney failure(OR = 4.359), hepatic encephalopathy(OR = 2.217) and esophageal variceal bleeding(OR = 2.187) were at considerably higher odds of in-hospital death compared with ascites(OR = 0.136, P < 0.001). Comorbidity measures with the highest odds of in-hospital death were fluid and electrolyte disorders(OR = 2.823), coagulopathy(OR = 2.016), and lymphoma(OR = 1.842).CONCLUSION: The overall mortality of the TIPS procedure is steadily decreasing, though the length of stay has remained relatively constant. Specific patient ethnicity, location, transfer status, primary diagnosis and comorbidities correlate with increased odds of TIPS in-hospital death. | Edward Wolfgang Lee Andrew Kuei Sammy Saab Ronald W Busuttil Francisco Durazo Steven-Huy Han Mohamed M El-Kabany Justin P Mc Williams Stephen T Kee | 2016 | World Journal of Gastroenterology2016,22,25: | 7 |
| 2 | Relationship between regional cardiac hyperinnervation and ventricular arrhythmia显示文摘 | Cao JM Fishbein MC Han JB | 2000 | Circulation2000,101,16: | 1 |
| 3 | Bioterrorism and catast-rophe response:a quick-reference guide to resources显示文摘 | Han SZ Alfano MC Psoter WJ | 2003 | J Am Dent Assoc2003,134,6: | 1 |
| 4 | Hilar cholangiocarcinoma: Comparative study with sonography, and CT显示文摘 | Choi BL Lee JH Han MC | 1989 | Radiology1989,172,: | 1 |
| 5 | Relationship between regional cardiac hyperinnervation and ventricular arrhythmia 显示文摘 | Cao JM Fishbein MC Han JB | 2000 | Circulation2000,101,16: | 1 |
| 6 | Sclerosing hemangioma of the lungand interlobar fissures: CTfindings显示文摘 | Im JG Kim WH Han MC | 1994 | Journal Computer Assisted Tomography1994,18,4: | 1 |
| 7 | Solid and papillary pithelial neoplasms of the pancreas : CT findings显示文摘 | Choi BI Kim KW Han MC | 1988 | Radioloy1988,166,2: | 1 |
| 8 | The anatomy of the pericardial space:a study in cadavers and patients显示文摘 | Choe YH Im JG Park JH Han MC | 1987 | AJR1987,149,4: | 1 |
| 9 | Sclerosing hemangiomas of the lung and interlobar fissures: CT findings显示文摘 | Im JG Kim WH Han MC | 1994 | J Comput Assist Tomogr1994,18,1: | 1 |
| 10 | Bioterrorism and catastropheresponse:q quick-reference guide to resources显示文摘 | Han SZ Alfano MC Psoter WJ | 2003 | J Am Dent Assoc2003,134,6: | 1 |
| 11 | Small hepatocellular carcinomas and associated nodular lesions of the liver: pathology, pathogenesis, and imaging findings显示文摘 | Choi BI Takatasu K Han MC | 1993 | AJR1993,160,: | 1 |
| 12 | Executive function deficits and neural discordance in children with autism spectrum disorders 显示文摘 | Chan AS Cheung MC Han YM | 2009 | Clin Neurophysiol2009,120,6: | 1 |
| 13 | Retroperitoneal neurilemoma:CT and MR findings显示文摘 | Kim SH Choi BI Han MC | 1992 | AJR1992,159,11: | 1 |
| 14 | Biogenesis of small RNAs in animals显示文摘 | Kim VN Han J Siomi MC | 2009 | Nat Rev Mol Cell Biol2009,10,2: | 1 |
| 15 | Relationship between regional cardiac hyperinnervation and ventricular arrhythmia 显示文摘 | Cao JM Fishbein MC Han JB | 2000 | Cireula- ton2000,101,16: | 1 |
| 16 | Effects of Dead Loads on the Lateral Response of Battered Pile Group 显示文摘 | ZHANG L M MCVAY MC HANS J | 2002 | Canadian Geoteehnical Journal2002,39,3: | 1 |
| 17 | Relationship between regional cardiac hyperinnervation and ventricular arrhythmia 显示文摘 | Cao JM Fishbein MC Han JB | 2000 | Circulation2000,101,16: | 1 |
| 18 | Hilar cholangiocarcinoma:comparative study with sonography and CT显示文摘 | Choi BI Lee J H Han MC | 1989 | Radiology1989,172,3: | 1 |
| 19 | Sclerosing Hemangionma of the Lung and interlobar fissures:CT findings显示文摘 | Im JG Kim WH Han MC | 1994 | J Comput Assist Tomogr1994,18,1: | 1 |
| 20 | Biliary cystadenoma and cystadenocarcinoma:CT and sonographic findings显示文摘 | Choi BI Lim JH Han MC | 1989 | Radiology1989,171,: | 1 |