Evidence map›Paper›PMID 36061158›Full record

ArticleAnnals of gastroenterology

Predictors of leaving against medical advice in patients with alcohol-related hepatitis.

Aalam Sohal, Hunza Chaudhry, Kanwal Bains, Armaan Dhaliwal, Raghav Sharma, Gagan Gupta, Piyush Singla, Dino Dukovic, Sunny Sandhu, Marina Roytman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Aalam SohalDepartment of Internal Medicine, University of California, Fresno, California, USA (Aalam Sohal, Hunza Chaudhry, Sunny Sandhu).
Hunza ChaudhryDepartment of Internal Medicine, University of California, Fresno, California, USA (Aalam Sohal, Hunza Chaudhry, Sunny Sandhu).
Kanwal BainsDepartment of Clinical Nutrition, Brigham and Women's Hospital, Massachusetts (Kanwal Bains).
Armaan DhaliwalDepartment of Internal Medicine, University of Arizona, South Campus, Arizona (Armaan Dhaliwal).
Raghav SharmaPunjab Institute of Medical Sciences, India (Raghav Sharma).
Gagan GuptaDayanand Medical College and Hospital, India (Gagan Gupta, Piyush Singla).
Piyush SinglaDayanand Medical College and Hospital, India (Gagan Gupta, Piyush Singla).
Dino DukovicRoss University School of Medicine, Barbados, (Dino Dukovic).
Sunny SandhuDepartment of Internal Medicine, University of California, Fresno, California, USA (Aalam Sohal, Hunza Chaudhry, Sunny Sandhu).
Marina RoytmanDepartment of Gastroenterology and Hepatology, University of California, Fresno, California, USA (Marina Roytman).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Alcohol-related hepatitis is one of the most severe manifestations of alcohol-related liver disease and has been associated with significant morbidity, mortality and financial burden. Patients with alcohol use disorders are at risk of leaving against medical advice (LAMA); however, there is currently a lack of data in the literature to show which patients are at higher risk. In this study, we investigated the specific demographic factors and comorbidities associated with LAMA. Methods: Patients with a primary or secondary discharge diagnosis of alcohol-related hepatitis (ICD10-CM codes K70.4 and K70.1) between January 2016 and December 2019 were included in this study. Demographics, comorbidities, complications and interventions were studied in for patients who LAMA. Multivariate analysis was conducted to elucidate factors contributing to the increased risk of alcohol-related hepatitis. Results: A total of 538,750 patients were admitted with a diagnosis of alcohol-related hepatitis. Of these, 31,500 (5.84%) patients LAMA. Older age, Hispanic race, private insurance, and higher income status were associated with a lower risk of LAMA, while younger age, African American race, lack of insurance and being in the lowest income quartile were associated with the highest risk. Conclusions: Our findings demonstrated that significant differences exist between patients with alcohol-related hepatitis who LAMA and those who remain hospitalized until discharge. We believe that this study will help healthcare providers identify patients at risk of LAMA, and help promote the targeted education of specific subgroups to improve their understanding of their disease state and decrease adverse events.

Indexed as

alcoholic hepatitisAlcohol-related liver diseasehepatitisleaving against medical adviceNational Inpatient Sample

Identifiers

PMID36061158
PMCPMC9399570

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.