Hospital Frailty Risk Score Is Independently Associated with Mortality and Encephalopathy in Hospitalized Patients with Hepatocellular Carcinoma.

frailty hepatocellular carcinoma outcomes

Journal

Biomedicines
ISSN: 2227-9059
Titre abrégé: Biomedicines
Pays: Switzerland
ID NLM: 101691304

Informations de publication

Date de publication:
15 Nov 2021
Historique:
received: 24 09 2021
revised: 10 11 2021
accepted: 11 11 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 28 11 2021
Statut: epublish

Résumé

Frailty represents a state of vulnerability to multiple internal physiologic factors, as well as external pressures, and has been associated with clinical outcomes. We aim to understand the impact of frailty on patients admitted with hepatocellular carcinoma (HCC) by using the validated Hospital Frailty Risk Score, which is implemented in several hospitals worldwide. We conducted a nation-wide retrospective cohort study to determine the effect of frailty on the risk of in-patient mortality, hepatic encephalopathy, length of stay and cost. Frailty was associated with a 4.5-fold increased risk of mortality and a 2.3-fold increased risk of hepatic encephalopathy. Adjusted Cox regression showed that frailty was correlated with increased risk of in-patient mortality (hazard ratio: 2.3, 95% CI 1.9-2.8,

Identifiants

pubmed: 34829921
pii: biomedicines9111693
doi: 10.3390/biomedicines9111693
pmc: PMC8615905
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Daryl Ramai (D)

Division of Gastroenterology and Hepatology, University of Utah, Salt Lake City, UT 84113, USA.

Khoi P Dang-Ho (KP)

Department of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY 11201, USA.

Anjali Kewalramani (A)

Department of Internal Medicine, Mathers Hospital, Port Jefferson, NY 11777, USA.

Praneeth Bandaru (P)

Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Brooklyn, NY 11201, USA.

Rodolfo Sacco (R)

Section of Gastroenterology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.

Luca Giacomelli (L)

Polistudium SRL, 20135 Milan, Italy.

Aashni Shah (A)

Polistudium SRL, 20135 Milan, Italy.

Simonetta Papa (S)

Polistudium SRL, 20135 Milan, Italy.

Francesca Cappellini (F)

Polistudium SRL, 20135 Milan, Italy.

Fabio Perversi (F)

Polistudium SRL, 20135 Milan, Italy.

Sara di Nunzio (S)

Polistudium SRL, 20135 Milan, Italy.

Antonio Facciorusso (A)

Section of Gastroenterology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.

Classifications MeSH