Evidence map›Paper›PMID 35626226›Full record

ArticleDiagnostics (Basel, Switzerland)2022

Liver Frailty Index for Prediction of Short-Term Rehospitalization in Patients with Liver Cirrhosis.

Leonard Kaps, Lejla Lukac, Maurice Michel, Wolfgang Maximilian Kremer, Max Hilscher, Simon Johannes Gairing, Peter R Galle, Jörn M Schattenberg, Marcus-Alexander Wörns, Michael Nagel and 1 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
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

11 authors at 1 institution in 1 country.

Leonard KapsDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.ORCID 0000-0002-4782-8003
Lejla LukacDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.
Maurice MichelDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.
Wolfgang Maximilian KremerDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.
Max HilscherDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.
Simon Johannes GairingDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.ORCID 0000-0003-3240-5152
Peter R GalleDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.ORCID 0000-0003-1967-0621
Jörn M SchattenbergDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.ORCID 0000-0002-4224-4703
Marcus-Alexander WörnsDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.
Michael NagelDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.
Christian LabenzDepartment of Internal Medicine I, University Medical Centre, Johannes Gutenberg-University, 55131 Mainz, Germany.ORCID 0000-0001-8390-9663
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stratifying patients with liver cirrhosis for risk of rehospitalization is challenging with established scoring systems for chronic liver disease. Frailty captures the physical characteristics of patients with cirrhosis. Its value for predicting short-term rehospitalizations in hospitalized patients remains to be defined. Methods: Eighty-three non-electively hospitalized patients with liver cirrhosis were analyzed in this study. Frailty was assessed during the last 48 h of hospital stay with the liver frailty index (LFI). Patients were followed for 30-day rehospitalization. Results: In total, 26 (31%) patients were rehospitalized within 30 days. The median LFI was 4.5, and 43 (52%) patients were identified as frail. Rehospitalized patients had a significant higher LFI compared to patients without a rehospitalization within 30 days. In multivariable analysis, LFI as a metric variable (OR 2.36, p = 0.02) and lower platelet count (OR 0.98, p < 0.01) were independently associated with rehospitalization. LFI and its subtest chair stands had the best discriminative ability to predict rehospitalization, with AUROCs of 0.66 and 0.67, respectively. An LFI cut-off of >4.62 discriminated best between patients with and without elevated risk for rehospitalization within 30 days. Conclusions: Measures of frailty could be useful to identify patients at higher risk for short-term rehospitalization.

Indexed as

complications of cirrhosisend-stage liver diseaseextrahepatic features of chronic liver diseasefunctional declinepoint-of-care diagnosticsarcopenia

Identifiers

PMID35626226
PMCPMC9139749
OpenAlexW4224322573

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.