Naslov
Comparison of Outcomes of Patients With Versus Without Chronic Liver Disease Undergoing Percutaneous Coronary Intervention

Autori
Istanbuly, Sedralmontaha ; Matetic, Andrija ; Mohamed, Mohamed O. ; Panaich, Sidakpal ; Velagapudi, Poonam ; Elgendy, Islam Y. ; Paul, Timir K ; Alkhouli, Mohamad ; Mamas, Mamas A.

Izvornik
The American Journal of Cardiology (0002-9149) 156 (2021); 32-38

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Aged ; Chronic Disease ; Coronary Artery Disease ; Female ; Hospitalization ; Humans ; Inpatients ; Liver Diseases ; Male ; Middle Aged ; Percutaneous Coronary Intervention ; Prognosis ; Risk Factors

Sažetak
There are limited data on the outcomes of chronic liver disease (CLD) patients admitted for percutaneous coronary intervention (PCI). All PCI hospitalizations from the Nationwide Inpatient Sample (2004 to 2015) were analyzed and stratified by the presence, cause and severity of CLD, as well as the indication for PCI. Multivariable logistic regression analysis was performed to determine the adjusted odds ratios (aOR) of in-hospital adverse outcomes in patients with CLD compared with those without CLD. Among 7, 296, 679 PCI admissions, 54, 368 (0.7%) had a CLD diagnosis. Among patients with CLD, 36, 853 (67.8%) had severe CLD. Patients with CLD had higher likelihood of adverse outcomes including major adverse cardiovascular and cerebrovascular events (MACCE) (aOR 1.25, 95%CI 1.20 to 1.30), mortality (aOR 1.43, 95%CI 1.35 to 1.51), major bleeding (aOR 2.22, 95%CI 2.12 to 2.32). When accounting for severity, only severe CLD subgroup was more likely to have MACCE and all-cause mortality compared to no-CLD patients (p <0.001). Among CLD etiologic subgroups, those with ‘alcohol-related liver disease’ and ‘other CLD’ were consistently more likely to develop MACCE, all-cause mortality and major bleeding in comparison to no-CLD patients, while ‘chronic viral hepatitis’ subgroup had only increased odds of major bleeding (p <0.001). In conclusion, CLD patients admitted for PCI are more likely to have worse in-hospital outcomes, particularly in the severe CLD subgroup and ‘alcohol-related liver disease’ and ‘other CLD’ etiologic subgroups.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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