Journal of the American College of Surgeons
Volume 208, Issue 1 , Pages 96-103 , January 2009

Nationwide Volume and Mortality after Elective Surgery in Cirrhotic Patients

Presented at the 3rd Annual Academic Surgical Congress, Huntington Beach, CA, February 2008, and Massachusetts Chapter of the American College of Surgeons, Boston, MA, December 2007.

  • Nicholas G. Csikesz, BS

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Louis N. Nguyen, MD, MBA, MPH

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis & Research, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
    • ,
  • Jennifer F. Tseng, MD, MPH, FACS

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Shimul A. Shah, MD

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, Worcester, MA
    • Corresponding Author InformationCorrespondence address: Shimul A Shah, MD, Division of Organ Transplantation, Surgical Outcomes Analysis & Research, Department of Surgery, University of Massachusetts Medical School, 55 Lake Ave North, S6–432, Worcester, MA 01655

Received 31 May 2008 ,Revised 10 September 2008 ,Accepted 10 September 2008.

References 

  1. Kozak LJ, DeFrances CJ, Hall MJ. National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data. Vital Health Stat. 2006;13:1–209
  2. Minino AM, Heron MP, Murphy SL, et al. Deaths: final data for 2004. Natl Vital Stat Rep. 2007;55:1–119
  3. Kim WR, Brown RS, Terrault NA, et al. Burden of liver disease in the United States: summary of a workshop. Hepatology. 2002;36:227–242
  4. Teh SH, Nagorney DM, Stevens SR, et al. Risk factors for mortality after surgery in patients with cirrhosis. Gastroenterology. 2007;132:1261–1269
  5. Franzetta M, Raimondo D, Giammanco M, et al. Prognostic factors of cirrhotic patients in extra-hepatic surgery. Minerva Chir. 2003;58:541–544
  6. Wahlstrom K, Ney AL, Jacobson S, et al. Trauma in cirrhotics: survival and hospital sequelae in patients requiring abdominal exploration. Am Surg. 2000;66:1071–1076
  7. Cohen SM, Te HS, Levitsky J. Operative risk of total hip and knee arthroplasty in cirrhotic patients. J Arthroplasty. 2005;20:460–466
  8. Levy I, Sherman M. Staging of hepatocellular carcinoma: assessment of the CLIP, Okuda, and Child-Pugh staging systems in a cohort of 257 patients in Toronto. Gut. 2002;50:881–885
  9. Hoteit MA, Ghazale AH, Bain AJ, et al. Model for end-stage liver disease score versus Child score in predicting the outcome of surgical procedures in patients with cirrhosis. World J Gastroenterol. 2008;14:1774–1780
  10. Schroeder RA, Marroquin CE, Bute BP, et al. Predictive indices of morbidity and mortality after liver resection. Ann Surg. 2006;243:373–379
  11. Farnsworth N, Fagan SP, Berger DH, et al. Child-Turcotte-Pugh versus MELD score as a predictor of outcome after elective and emergent surgery in cirrhotic patients. Am J Surg. 2004;188:580–583
  12. Healthcare Cost and Utilization Project. http://www.hcup-us.ahrq.govAccessed September 18, 2008
  13. Csikesz NG, Tseng JF, Shah SA. Trends in surgical management for acute cholecystitis. Surgery. 2008;144:283–289
  14. Pugh RN, Murray-Lyon IM, Dawson JL, et al. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973;60:646–649
  15. Nguyen GC, Segev DL, Thuluvath PJ. Nationwide increase in hospitalizations and hepatitis C among inpatients with cirrhosis and sequelae of portal hypertension. Clin Gastroenterol Hepatol. 2007;5:1092–1099
  16. Elixhauser A, Steiner C, Harris DR, et al. Comorbidity measures for use with administrative data. Med Care. 1998;36:8–27
  17. Li B, Evans D, Faris P, et al. Risk adjustment performance of Charlson and Elixhauser comorbidities in ICD-9 and ICD-10 administrative databases. BMC Health Serv Res. 2008;8:12

 Disclosure Information: Nothing to disclose.

 Supported by the American Society of Transplant Surgeons Faculty Development Award and Worcester Foundation for Biomedical Research (SAS).

PII: S1072-7515(08)01339-2

doi: 10.1016/j.jamcollsurg.2008.09.006

Journal of the American College of Surgeons
Volume 208, Issue 1 , Pages 96-103 , January 2009

Article Tools

* Image Usage & Resolution