Racial and gender-based disparities and trends in common psychiatric conditions in liver cirrhosis hospitalizations: A ten-year United States study.
Liver cirrhosis hospitalizations
Psychiatric conditions
Racial and gender disparities
Journal
World journal of hepatology
ISSN: 1948-5182
Titre abrégé: World J Hepatol
Pays: United States
ID NLM: 101532469
Informations de publication
Date de publication:
27 Feb 2023
27 Feb 2023
Historique:
received:
17
10
2022
revised:
01
01
2023
accepted:
31
01
2023
entrez:
17
3
2023
pubmed:
18
3
2023
medline:
18
3
2023
Statut:
ppublish
Résumé
Chronic liver disease is associated with various neuropsychiatric conditions. There are currently no large studies assessing and comparing the prevalence of psychiatric illnesses based on patient profiles and the etiology of cirrhosis. To examine the trends of hospitalizations among psychiatric conditions in cirrhosis. We used the National Inpatient Sample database 2016-2019 for the primary diagnosis of liver cirrhosis. The outcomes included the prevalence, trends, and associations of psychiatric diagnoses in these hospitalizations. Chi-square for categorical variables and the Wilcoxon rank test for continuous variables were utilized. The prevalence of generalized anxiety disorder (GAD) in liver cirrhosis hospitalizations increased from 0.17% in 2009 to 0.92% in 2019 ( The prevalence of psychiatric comorbidities in liver cirrhosis hospitalizations has increased over the last decade. Females had a higher association with psychiatric disorders compared to males. Blacks, Hispanics, and Asian/Native Americans had lower associations with psychiatric comorbidities compared to the white race.
Sections du résumé
BACKGROUND
BACKGROUND
Chronic liver disease is associated with various neuropsychiatric conditions. There are currently no large studies assessing and comparing the prevalence of psychiatric illnesses based on patient profiles and the etiology of cirrhosis.
AIM
OBJECTIVE
To examine the trends of hospitalizations among psychiatric conditions in cirrhosis.
METHODS
METHODS
We used the National Inpatient Sample database 2016-2019 for the primary diagnosis of liver cirrhosis. The outcomes included the prevalence, trends, and associations of psychiatric diagnoses in these hospitalizations. Chi-square for categorical variables and the Wilcoxon rank test for continuous variables were utilized.
RESULTS
RESULTS
The prevalence of generalized anxiety disorder (GAD) in liver cirrhosis hospitalizations increased from 0.17% in 2009 to 0.92% in 2019 (
CONCLUSION
CONCLUSIONS
The prevalence of psychiatric comorbidities in liver cirrhosis hospitalizations has increased over the last decade. Females had a higher association with psychiatric disorders compared to males. Blacks, Hispanics, and Asian/Native Americans had lower associations with psychiatric comorbidities compared to the white race.
Identifiants
pubmed: 36926245
doi: 10.4254/wjh.v15.i2.289
pmc: PMC10011900
doi:
Types de publication
Journal Article
Langues
eng
Pagination
289-302Informations de copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: There is no conflict of interest associated with publication of this manuscript.
Références
J Clin Psychiatry. 2008 Oct;69(10):1606-16
pubmed: 19192444
Psychiatr Serv. 2014 Jan 1;65(1):59-67
pubmed: 24129773
Ann Gastroenterol. 2022 Jul-Aug;35(4):427-433
pubmed: 35784634
J Neurol Sci. 2020 Dec 15;419:117165
pubmed: 33059298
Psychiatr Serv. 2013 Nov 1;64(11):1103-9
pubmed: 23904054
Psychosom Med. 2006 Jul-Aug;68(4):563-9
pubmed: 16868265
Int J Environ Res Public Health. 2010 Apr;7(4):1392-431
pubmed: 20617037
Singapore Med J. 2017 Nov;58(11):649-655
pubmed: 27526704
J Hepatol. 2016 Dec;65(6):1232-1244
pubmed: 27515775
Transplant Proc. 2010 Mar;42(2):513-6
pubmed: 20304181
Soc Psychiatry Psychiatr Epidemiol. 2014 Sep;49(9):1401-25
pubmed: 24643298
Am J Public Health. 2007 Jan;97(1):91-8
pubmed: 17138905
Nord J Psychiatry. 2002;56(4):273-7
pubmed: 12470318
Alcohol Res. 2012;34(4):414-31
pubmed: 23584108
J Psychosom Res. 2000 Nov;49(5):311-7
pubmed: 11164055
Adm Policy Ment Health. 2004 Jan;31(3):241-52
pubmed: 15160786
Hepatol Int. 2021 Feb;15(1):127-136
pubmed: 33512644
Brain Sci. 2018 Sep 01;8(9):
pubmed: 30200460
J Adolesc Health. 2018 Sep;63(3):348-356
pubmed: 30237000
Reumatol Clin. 2016 Mar-Apr;12(2):72-7
pubmed: 26190206
Clin Psychol Rev. 2000 Mar;20(2):149-71
pubmed: 10721495
J Psychiatry Neurosci. 2015 Jul;40(4):219-21
pubmed: 26107348
Alcohol Clin Exp Res. 2018 Feb;42(2):397-402
pubmed: 29197092
Psychiatr Serv. 2012 Sep 1;63(9):875-80
pubmed: 22751938
Curr Probl Diagn Radiol. 2015 Sep-Oct;44(5):449-61
pubmed: 25908229
Liver Int. 2015 Jul;35(7):1910-6
pubmed: 24905236
Pol Arch Intern Med. 2019 Sep 30;129(9):645-647
pubmed: 31316046
Proc (Bayl Univ Med Cent). 2022 Jan 31;35(3):278-283
pubmed: 35518808
Am J Psychiatry. 2006 Mar;163(3):521-8
pubmed: 16513876
BMJ Open. 2020 Jul 19;10(7):e036777
pubmed: 32690526
Clin Liver Dis (Hoboken). 2022 May 27;20(2):38-42
pubmed: 36033427
Ann Transl Med. 2019 Sep;7(18):480
pubmed: 31700916
J Neuropsychiatry Clin Neurosci. 2011 Winter;23(1):90-7
pubmed: 21304144
Alcohol Alcohol. 1984;19(4):297-302
pubmed: 6532466
Soc Work. 2008 Jan;53(1):77-83
pubmed: 18610823
J Hepatol. 2014 Mar;60(3):618-24
pubmed: 24240053
Underst Complex Syst. 2011;72:485-494
pubmed: 23060943
BMC Med. 2020 Oct 1;18(1):261
pubmed: 32998725
PLoS One. 2015 May 20;10(5):e0126870
pubmed: 25993344
Am J Psychiatry. 1990 Jun;147(6):685-95
pubmed: 2188513
Psychosomatics. 2013 Jan-Feb;54(1):52-9
pubmed: 23295007
JAMA Psychiatry. 2013 Aug;70(8):812-20
pubmed: 23760347
J Clin Gastroenterol. 2001 Jan;32(1):66-8
pubmed: 11154175
Liver Int. 2019 Jan;39(1):6-19
pubmed: 29935104
Biol Psychiatry. 2014 Feb 15;75(4):300-6
pubmed: 24199668
Addict Behav. 1998 Nov-Dec;23(6):813-25
pubmed: 9801718
World J Psychiatry. 2014 Dec 22;4(4):133-40
pubmed: 25540728
Arch Dermatol. 2002 Mar;138(3):337-42
pubmed: 11902984
Am J Psychiatry. 1994 Dec;151(12):1723-34
pubmed: 7977877
J Affect Disord. 1993 Oct-Nov;29(2-3):85-96
pubmed: 8300981
J Behav Health Serv Res. 2008 Apr;35(2):128-41
pubmed: 18074230
Aust N Z J Psychiatry. 2006 Oct;40(10):865-74
pubmed: 16959012
Womens Health (Lond). 2011 Nov;7(6):663-74; quiz 675-6
pubmed: 22040208
Int J Bipolar Disord. 2021 Jan 4;9(1):3
pubmed: 33392912
JAMA. 2017 Nov 28;318(20):2011-2018
pubmed: 29183077