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    Prevalence, trends, outcomes, and disparities in hospitalizations for nonalcoholic fatty liver disease in the United States

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    Author
    Adejumo, Adeyinka Charles; Samuel, Gbeminiyi Olanrewaju; Adegbala, Oluwole Muyiwa; Adejumo, Kelechi Lauretta; Ojelabi, Ogooluwa; Akanbi, Olalekan; Ogundipe, Olumuyiwa Akinbolaji; Pani, Lydie
    Abstract
    Background: As the frequency of nonalcoholic fatty liver disease (NAFLD) continues to rise in the United States (US) community, more patients are hospitalized with NAFLD. However, data on the prevalence and outcomes of hospitalizations with NAFLD are lacking. We investigated the prevalence, trends and outcomes of NAFLD hospitalizations in the US. Methods: Hospitalizations with NAFLD were identified in the National Inpatient Sample (2007-2014) by their ICD-9-CM codes, and the prevalence and trends over an 8-year period were calculated among different demographic groups. After excluding other causes of liver disease among the NAFLD cohorts (n=210,660), the impact of sex, race and region on outcomes (mortality, discharge disposition, length of stay [LOS], and cost) were computed using generalized estimating equations (SAS 9.4). Results: Admissions with NAFLD tripled from 2007-2014 at an average rate of 79/100,000 hospitalizations/year (P<0.0001), with a larger rate of increase among males vs. females (83/100,000 vs. 75/100,000), Hispanics vs. Whites vs. Blacks (107/100,000 vs. 80/100,000 vs. 48/100,000), and government-insured or uninsured patients vs. privately-insured (94/100,000 vs. 74/100,000). Males had higher mortality, LOS, and cost than females. Blacks had longer LOS and poorer discharge destination than Whites; while Hispanics and Asians incurred higher cost than Whites. Uninsured patients had higher mortality, longer LOS, and poorer discharge disposition than the privately-insured. Conclusions: Hospitalizations with NAFLD are rapidly increasing in the US, with a disproportionately higher burden among certain demographic groups. Measures are required to arrest this ominous trend and to eliminate the disparities in outcome among patients hospitalized with NAFLD.
    URI
    http://hdl.handle.net/10342/8266
    Subject
    Ethnicity, charge, length of stay, cost, discharge disposition
    Date
    2019-07-17
    Citation:
    APA:
    Adejumo, Adeyinka Charles, & Samuel, Gbeminiyi Olanrewaju, & Adegbala, Oluwole Muyiwa, & Adejumo, Kelechi Lauretta, & Ojelabi, Ogooluwa, & Akanbi, Olalekan, & Ogundipe, Olumuyiwa Akinbolaji, & Pani, Lydie. (July 2019). Prevalence, trends, outcomes, and disparities in hospitalizations for nonalcoholic fatty liver disease in the United States. Annals of Gastroenterology, (32:5), p.504–513. Retrieved from http://hdl.handle.net/10342/8266

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    MLA:
    Adejumo, Adeyinka Charles, and Samuel, Gbeminiyi Olanrewaju, and Adegbala, Oluwole Muyiwa, and Adejumo, Kelechi Lauretta, and Ojelabi, Ogooluwa, and Akanbi, Olalekan, and Ogundipe, Olumuyiwa Akinbolaji, and Pani, Lydie. "Prevalence, trends, outcomes, and disparities in hospitalizations for nonalcoholic fatty liver disease in the United States". Annals of Gastroenterology. 32:5. (504–513.), July 2019. February 26, 2021. http://hdl.handle.net/10342/8266.
    Chicago:
    Adejumo, Adeyinka Charles and Samuel, Gbeminiyi Olanrewaju and Adegbala, Oluwole Muyiwa and Adejumo, Kelechi Lauretta and Ojelabi, Ogooluwa and Akanbi, Olalekan and Ogundipe, Olumuyiwa Akinbolaji and Pani, Lydie, "Prevalence, trends, outcomes, and disparities in hospitalizations for nonalcoholic fatty liver disease in the United States," Annals of Gastroenterology 32, no. 5 (July 2019), http://hdl.handle.net/10342/8266 (accessed February 26, 2021).
    AMA:
    Adejumo, Adeyinka Charles, Samuel, Gbeminiyi Olanrewaju, Adegbala, Oluwole Muyiwa, Adejumo, Kelechi Lauretta, Ojelabi, Ogooluwa, Akanbi, Olalekan, Ogundipe, Olumuyiwa Akinbolaji, Pani, Lydie. Prevalence, trends, outcomes, and disparities in hospitalizations for nonalcoholic fatty liver disease in the United States. Annals of Gastroenterology. July 2019; 32(5) 504–513. http://hdl.handle.net/10342/8266. Accessed February 26, 2021.
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