Evidence map›Paper›PMID 34138764›Full record

ArticleEuropean journal of gastroenterology & hepatology2021

Clinical outcomes and healthcare utilization of acute hepatitis A virus infection with acute kidney injury in hospitalized patients.

Ahmad Khan, Khadija Sami, Adnan Malik, Muhammad Mujtaba Bhinder, Khadija Naseem, Kamesh Gupta, Arsalan Siddiqui, Emad Mansoor, Shailendra Singh, Khalid Mumtaz

Open access · greenAbstract read
In one paragraph

Article in European journal of gastroenterology & hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Ahmad KhanDepartment of Medicine, West Virginia University Health Sciences Center Charleston Division, Charleston, West Virginia, USA.
Khadija SamiDepartment of Medicine, Services Hospital, Lahore, Pakistan.
Adnan MalikDepartment of Medicine, Floyd Medical Center, Rome, Georgia, USA.
Muhammad Mujtaba BhinderDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Khadija NaseemDepartment of Medicine, West Virginia University Health Sciences Center Charleston Division, Charleston, West Virginia.
Kamesh GuptaDepartment of Medicine, UMass Medical Center, Springfield, Massachusetts.
Arsalan SiddiquiDivision of Gastroenterology, Henry Ford Health System, Detroit, Michigan.
Emad MansoorDivision of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Shailendra SinghDivision of Gastroenterology, West Virginia University, Morgantown, West Virginia.
Khalid MumtazDivision of Gastroenterology, Hepatology and Nutrition, Ohio State University, Wexner Medical Center, Columbus, Ohio, USA.
West Virginia University · USCase Western Reserve University · USDow University of Health Sciences · PKGeorgia Highlands College · USHenry Ford Health System · USServices Hospital · PKThe Ohio State University Wexner Medical Center · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI JUDITH FEINBERG · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundPatients with acute hepatitis A virus (HAV) infection are at risk of developing acute kidney injury (AKI) which may result in increased healthcare resource utilization and worse clinical outcomes. We investigated the impact of AKI on healthcare utilization and clinical outcomes in patients hospitalized with acute HAV infection utilizing a large database.

methodsWe queried the National Inpatient Sample (NIS) 2007-2014 to identify acute HAV infection-related hospitalizations with and without AKI. Primary outcomes were prevalence of AKI and its predictors with secondary outcomes included the mean length of stay (LOS), hospitalization cost and mortality in both groups.

resultsOut of 68 364 acute HAV infection-related hospitalizations, 47 620 met our study criteria and 7458 (15.7%) had concurrent AKI. HAV patients with AKI were older (62.5 vs. 53.7 years; P value <0.001). A higher mean LOS (10.03 vs. 5.6 days; P value <0.001) and mean total hospitalization cost ($27 171.35 vs. $12 790.26; P value <0.001) were observed in HAV patients with the AKI group. A total of 1032 patients (13.8%) in the AKI group died during the same hospitalization as compared to 681 patients (1.5%) in the non-AKI group, P value <0.001. AKI in HAV was also found to be an independent predictor of mortality [adjusted odds ratio (aOR), 3.28; 95% confidence interval, 2.23-4.84; P value <0.001) after adjusting for the confounding factors.

conclusionWe found that 15.67% of patients hospitalized with acute HAV had AKI which contributed to increased healthcare utilization and higher mortality which is preventable.

Indexed as

Acute Kidney InjuryHepatitis AHepatitis A virusHospitalizationHospital MortalityHumansLength of StayPatient Acceptance of Health CareRetrospective StudiesRisk Factors

Identifiers

PMID34138764
PMCPMC8678396
OpenAlexW3170926384

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.