Table 3:
Factors Associated with consistent (≥ 30 days/year) Inappropriate and Potentially Inappropriate Medication Use
NSAID Use | Opiate Use | Benzodiazepine Use | PPI Use | |
OR (95% CI) | ||||
Gender (Male) |
0.6 (0.5–0.8) p<0.001 |
0.9 (0.8–0.97) p=0.006 |
0.7 (0.6–0.8) p<0.001 |
1.0 (0.9–1.1) p=0.667 |
Age at first liver decompensation | 1.00 (0.99–1.01) p=0.563 |
0.99 (0.98–0.99) p<0.001 |
0.97 (0.97–0.98) p<0.001 |
1.02 (1.01–1.02) p<0.001 |
Race/Ethnicity | ||||
White | 1.0 (0.6–1.7) p=0.972 |
1.0 (0.8–1.2) p=0.975 |
1.1 (0.8–1.5) p=0.696 |
1.0 (0.8–1.2) p=0.838 |
Hispanic | 0.9 (0.5–1.6) p=0.629 |
0.8 (0.6–1.0) p=0.094 |
0.6 (0.4–0.9) p=0.006 |
1.1 (0.9–1.4) p=0.397 |
African American |
1.2 (0.7–2.3) p=0.511 |
1.0 (0.8–1.3) p=0.876 |
0.8 (0.5–1.2) p=0.226 |
0.9 (0.7–1.1) p=0.289 |
Asian | 0.8 (0.3–2.0) p=0.654 |
0.4 (0.3–0.6) p<0.001 |
0.5 (0.2–0.9) p=0.023 |
0.9 (0.6–1.2) p=0.317 |
Co-morbid Conditions |
||||
Peptic Ulcer Disease |
1.7 (1.6–1.9) p<0.001 |
|||
Gastroesophageal Reflux |
2.3 (2.1–2.5) p<0.001 |
|||
Dyspepsia |
1.2 (1.1–1.4) p=0.008 |
|||
Inpatient Codes | ||||
Inpatient Ascites Diagnosis |
0.7 (0.6–0.9) p=0.009 |
|||
Inpatient HE | 1.3 (1.2–1.5) | 1.0 (0.8–1.1) | ||
Diagnosis | p<0.001 | p=0.683 | ||
Procedures | ||||
Rx after TIPS* |
0.6 (0.3–0.98) p=0.045 |
1.9 (0.7–5.8) p=0.234 |
||
Rx after Paracentesis** | 0.8 (0.5–1.1) p=0.141 |
|||
Paracentesis # During Follow up |
0.9 (0.8–0.97) p=0.008 |
|||
Gastroenterology or Hepatology Provider Consultation | 0.9 (0.7–1.1) p=0.318 |
1.1 (0.99–1.2) p=0.056 |
1.2 (0.99–1.4) p=0.073 |
1.7 (1.5–1.8) p<0.001 |
HE: Hepatic Encephalopathy
PPI: Proton Pump Inhibitor
NSAID: Non-Steroidal Anti-Inflammatory Drug
TIPS: Transjugular Intrahepatic Portosystemic Shunt
Medication use after TIPS for those who underwent TIPS compared to medication use for those who did not undergo TIPS
Medication use after paracentesis compared to medication use for those who did not undergo paracentesis