CLDF Title
Home | Contact Us | Bookmark
HBV HE HCC HCV
About CLDF Centers of Educational Expertise  
CME Dinner Meetings Telewebs Webcasts Slide Library Abstract Library Conference Highlights
 
Back  
 
Reuters Health Information (2009-02-06): Mortality after elective surgery high for cirrhotic patients

Clinical

Mortality after elective surgery high for cirrhotic patients

Last Updated: 2009-02-06 14:22:21 -0400 (Reuters Health)

NEW YORK (Reuters Health) - Patients with cirrhosis, even if it is not complicated by portal hypertension, have a high risk of death with common elective surgeries, researchers report in the January issue of the Journal of the American College of Surgeons.

Dr. Shimul A. Shah and colleagues at the University of Massachusetts Medical Center in Worcester used the Nationwide Inpatient Sample to identify all patients undergoing one of four elective surgeries: cholecystectomy, colectomy, abdominal aortic aneurysm repair, and coronary artery bypass grafting (CABG), between 1998 and 2005. In-hospital mortality was the primary endpoint.

About 2.8 million patients underwent one of the surgeries; 22,569 patients had cirrhosis, and 4,214 of them had portal hypertension.

Mortality rates increased with increasing severity of liver disease for each operation. Hazard ratios for mortality in patients with cirrhosis versus those without were 3.4 for cholecystectomy, 3.7 for colectomy, 5.0 for abdominal aneurysm repair, and 8.0 for CABG.

Corresponding hazard ratios for mortality in patients with cirrhosis and portal hypertension were 12.3, 14.3, 7.8 and 22.7.

Dr. Shah and colleagues say, "These values can be used as a frame of reference for the individual surgeon when considering different treatment options for patients with liver disease who may benefit from elective surgery, and for providing informed consent to these patients."

J Am Coll Surg 2009;208:96-103.

 
 
 
 
                 
 
HBV
Webcasts
Slide Library
Abstract Library
 
HE
CME Dinner Meeting
Webcasts
Slide Library
Abstract Library
 
HCC
Slide Library
Abstract Library
 
 
HCV
Webcasts
Slide Library
Abstract Library
 
CLDF Follow Us
   
 
About CLDF
Mission Statement
Board of Trustees
Board of Advisors
CLDF Supporters
 
Other Resources
Liver News Library
Journal Abstracts
Hep C Link to Care
 
Centers of
Educational Expertise
Regional Map
     
   
  The Chronic Liver Disease Foundation is a non-profit organization with content developed specifically for healthcare professionals.
© Copyright 2012-2014 Chronic Liver Disease Foundation. All rights reserved. This site is maintained as an educational resource for US healthcare providers only.
Use of this Web site is governed by the Chronic Liver Disease Foundation terms of use and privacy statement.