Table 2.
Study | Country | Population | N | Outcome | Length of stay |
---|---|---|---|---|---|
LT-related hospitalisations | |||||
Aby et al. [21] | US | LT recipients with NASH cirrhosis or cryptogenic cirrhosis, 2002–2015 |
Post-transplant LOS, median days (IQR) Post-transplant hospital days in 1-yr, median (IQR) |
Sarcopenia vs no sarcopenia: 44.5 (23.2–81.2) vs 46 (27–69.2); p = 0.812 53 (31.2–89.8) vs 55.5 (33.5–80); p = 0.777 |
|
With sarcopenia Without sarcopenia |
90 56 |
||||
Agopian et al. [22] | US | Patients who underwent primary LT, 1993–2011 | All patients: | ||
Total LOS, days | NASH vs non-NASH: 47 vs 36 | ||||
NASH aetiology Non-NASH aetiology HBV HCV ALD CC PBC/PSC |
144 1150 691 127 185 58 89 |
HCV: 34; HBV: 27; ALD: 47; CC: 47; PBC/PSC: 35 | |||
Post-transplant LOS, days | NASH vs non-NASH: 35 vs 29 | ||||
HCV: 28; HBV: 23; ALD: 36; CC: 36; PBC/PSC: 27 | |||||
Patients from home pre-transplant: | |||||
Post-transplant LOS, days | NASH vs non-NASH: 28 vs 20 | ||||
HCV: 17; HBV: 17; ALD: 21; CC: 33; PBC/PSC: 22 | |||||
Hospitalised patients pre-transplant: | |||||
Pre-transplant LOS, days | NASH vs non-NASH: 18 vs 18 | ||||
HCV: 16; HBV: 16; ALD: 18; CC: 17; PBC/PSC: 18 | |||||
Post-transplant LOS, days | NASH vs non-NASH: 40 vs 42 | ||||
HCV: 38; HBV: 38; ALD: 46; CC: 37; PBC/PSC: 29 | |||||
Barbas et al. [23] | Canada | NASH patients undergoing primary LT, 2000–2014 | LDLT vs DDLT: | ||
Post-transplant LOS, median days (IQR) | 11 (8–16) vs 17 (10–31) | ||||
LDLT DDLT |
48 128 |
Post-transplant ICU LOS, mean days (SD) | 3.2 (9.7) vs 6.3 (14.2) | ||
Total LOS for index admission, median days (IQR) | 12.5 (9–18) vs 19 (10–34) | ||||
Hoehn et al. [25] | US | Patients with diabetes who underwent LT, 2007–2011 | Proportion of patients discharged home, % |
NASH vs non-NASHa: Obese: 71% vs 83%; p < 0.005 Non-obese: 79% vs 85%; p < 0.005 |
|
Total NASH |
2971 713 |
LOS |
NASH vs non-NASHa: Non-obese: 10 vs 9 days; p < 0.05 |
||
Morris et al. [24] | US | Patients who underwent LSG following LT, 2014–2018 | 1 | Post-transplant LSG LOS, median days (IQR) | 2 (1–2) |
Total NASH |
15 14 |
||||
Cirrhosis-related hospitalisations | |||||
Axley et al. [27] | US | Hospital admissions for cirrhosis with ACLF (2006–2014) | LOS, mean days |
Total: 2006–8: 13; 2009–11: 13; 2012–14: 12 NASH: 2006–14: 14 |
|
Total NASH-related |
112,174 8903 |
||||
NASH-related hospitalisations with or without comorbidities | |||||
Carruthers et al. [28] | England | Patients with biopsy-proven NASH (inpatient and day-case admissions to NHS hospitals 2004–2015) | LOS, median days (IQR) |
2004–5 vs 2014–15: With diabetes: 2 (0–16) vs 0 (0–8); p < 0.001 Without diabetes: 1 (0–7) vs 0 (0–5); p < 0.001 |
|
With diabetes (2004–5) With diabetes (2014–15) Without diabetes (2004–5) Without diabetes (2014–15) |
1303 2341 12,758 10,988 |
||||
Geier et al. [29] | US, France, Germany | NASH patients (NASH-Atlas program July–November 2017) | LOS,b mean (SD) |
Total population: 3.7 (7.1) BC vs phenotypic NASH: 2.7 vs 6.0; p < 0.05 FR vs DE vs US: 5.0 vs 4.3 vs 2.1 |
|
Total BC NASH Phenotypic NASH French NASH population German NASH population US NASH population |
1216 786 430 227 287 702 |
||||
ICU LOS,b mean (SD) |
Total population: 0.4 (1.2) BC vs phenotypic NASH: 0.4 vs 0.4; p = ns FR vs DE vs US: 0.5 vs 0.3 vs 0.4 |
||||
Reja et al. [31] | US | Hospitalised NASH patients with or without kidney failure, 2016 | LOS, mean days (SD) |
Total NASH: 4.8 (7.1) With vs without kidney failure: 6.4 (9.1) vs 3.1 (3.4), β/OR = 3.02 (95% CI 2.54–3.50; p < 0.0001) |
|
Total With kidney failure Without kidney failure |
1196 598 598 |
aComparator inferred, but not explicitly stated in publication
bNights in hospital/ICU
ACLF acute-on-chronic liver failure, ALD alcoholic liver disease, BC biopsy-confirmed, CC compensated cirrhosis, CI confidence interval, DDLT deceased donor liver transplant, DE German cohort, FR French cohort, HBV hepatitis B virus, HCV hepatitis C virus, ICU intensive care unit, IQR interquartile range, LDLT living donor liver transplantation, LOS length of stay, LSG laparoscopic sleeve gastrectomy, LT liver transplantation, NASH non-alcoholic steatohepatitis, NASH-Atlas Growth from Knowledge (currently Ipsos) Disease Atlas Real-World Evidence program, NHS National Health Service, ns non-significant, OR odds ratio, PBC primary biliary cirrhosis, PSC primary sclerosing cholangitis, SD standard deviation, US US cohort, yr year