Table 3:
Adjust Outcomes after Hepatic Encephalopathy in a Cohort of 2,184 Privately Insured Persons with Cirrhosis
Death | Hospital days | ||||
---|---|---|---|---|---|
Baseline Variable | Baseline Value | Adjusted sHR (95% CI) | P-Value | Adjusted IRR (95%CI) | P-Value |
Age (per year) | 61 ± 14 | 1.03 (1.02–1.04) | <0.001 | 1 (0.99–1.01) | 0.963 |
Male | 1334 (57%) | 1.13 (0.94–1.36) | 0.183 | 0.96 (0.84–1.11) | 0.608 |
White Race (vs others) | 1460 (62%) | 0.97 (0.81–1.15) | 0.183 | 1.07 (0.93–1.23) | 0.364 |
Cirrhosis Etiology | |||||
Alcohol | 1208 (51%) | 0.85 (0.71–1.01) | 0.069 | 0.9 (0.78–1.04) | 0.139 |
Diabetes mellitus | 1264 (54%) | 0.88 (0.74–1.06) | 0.189 | 1.15 (0.99–1.35) | 0.068 |
Hepatitis B | 199 (8%) | 0.75 (0.54–1.04) | 0.086 | 0.91 (0.71–1.16) | 0.434 |
Hepatitis C | 1004 (43%) | 0.86 (0.71–1.04) | 0.114 | 0.91 (0.79–1.06) | 0.231 |
Morbid obesity | 344 (15%) | 0.86 (0.66–1.12) | 0.266 | 1.19 (0.98–1.44) | 0.076 |
Gastroenterology Consult | 1998 (85%) | 1.23 (0.94–1.61) | 0.127 | 1.11 (0.92–1.34) | 0.266 |
Lactulose | 863 (37%) | 0.43 (0.36–0.52) | <0.001 | 0.44 (0.38–0.5) | <0.001 |
Rifaximin | 492 (21%) | 0.58 (0.46–0.72) | <0.001 | 0.56 (0.47–0.66) | <0.001 |
Ascites | 887 (38%) | 1.15 (0.95–1.39) | 0.165 | 1.13 (0.98–1.3) | 0.091 |
Variceal bleeding | 169 (7%) | 0.96 (0.67–1.37) | 0.812 | 0.8 (0.61–1.04) | 0.096 |
Transjugular intrahepatic portosystemic shunt | 59 (3%) | 1.03 (0.65–1.61) | 0.913 | 1.41 (0.92–2.17) | 0.115 |
Hepatocellular Carcinoma | 255 (11%) | 1.7 (1.31–2.20) | <0.001 | 1.49 (1.2–1.86) | <0.001 |
Charlson Comorbidity Index (CCI; relative to CCI 1) | |||||
CCI=2 | 356 (15%) | 1.46 (0.91–2.35) | 0.117 | 0.77 (0.56–1.08) | 0.128 |
CCI=≥3 | 1864 (79%) | 1.1 (0.8–1.50) | 0.06 | 0.94 (0.66–1.34) | 0.736 |
MELD-Na | 14 ± 12 | 1.05 (1.04–1.07) | <0.001 | 1.05 (1.03–1.06) | <0.001 |
Albumin g/dL | 3.3 ± 3.3 | 0.71 (0.61–0.83) | <0.001 | 0.83 (0.74–0.93) | 0.001 |
Platelet count | 147 ± 122 | 1 (1.00–1.002) | 0.011 | 1.002 (1.001–1.003) | <0.001 |
MELD-Na (Model for Endstage Liver Disease – Sodium), TIPS =. sHR = subhazard distribution ratio (accounts for the competing risk of death)