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The impact of race and ethnicity on mortality and healthcare utilization in alcoholic hepatitis: a cross-sectional study

Overview of attention for article published in BMC Gastroenterology, October 2016
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Title
The impact of race and ethnicity on mortality and healthcare utilization in alcoholic hepatitis: a cross-sectional study
Published in
BMC Gastroenterology, October 2016
DOI 10.1186/s12876-016-0544-y
Pubmed ID
Authors

Folasade P. May, Vineet S. Rolston, Elliot B. Tapper, Ashwini Lakshmanan, Sammy Saab, Vinay Sundaram

Abstract

Alcoholic Hepatitis (AH) is major source of alcohol-related mortality and health care expenditures in the United States. There is insufficient information regarding the role of race and ethnicity on healthcare utilization and outcomes for patients with AH. We aimed to determine whether there are racial/ethnic differences in resource utilization and inpatient mortality in patients hospitalized with AH. We analyzed data from the Nationwide Inpatient Sample (NIS), years 2008-2011. We calculated demographic, clinical, and healthcare utilization characteristics by race. We then performed logistic regression and generalized linear modeling with gamma distribution (log link), respectively, to determine predictors of inpatient morality and total hospital costs (THC). We identified 11,304 AH patients from 2008 to 2011. Mean age was 47.0 years, and 62.1 % were male, 61.9 % were white, 9.8 % were black, and 9.7 % were Hispanic. Mean LOS was 6.3 days and significantly longer in whites (6.5 d) than both blacks (5.4 d) and Hispanics (5.9 d). In adjusted models, inpatient mortality was lower for blacks than for whites (adj. OR = 0.50; 95 % CI = 0.32-0.78). THC was significantly higher for Hispanics than whites (fold increase = 1.25; 95 % CI = 1.01-1.49). We identified differences in healthcare utilization and mortality by race/ethnicity. THC was significantly higher among Hispanics than for whites and blacks. We also demonstrated lower inpatient mortality in blacks compared to whites. These variations may implicate racial and ethnic differences in access to care, quality of care, severity of AH on presentation, or other factors.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 12%
Student > Ph. D. Student 4 9%
Student > Bachelor 4 9%
Student > Doctoral Student 4 9%
Other 3 7%
Other 10 23%
Unknown 13 30%
Readers by discipline Count As %
Medicine and Dentistry 12 28%
Pharmacology, Toxicology and Pharmaceutical Science 2 5%
Economics, Econometrics and Finance 2 5%
Business, Management and Accounting 2 5%
Psychology 2 5%
Other 6 14%
Unknown 17 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 December 2016.
All research outputs
#18,163,149
of 23,332,901 outputs
Outputs from BMC Gastroenterology
#1,069
of 1,795 outputs
Outputs of similar age
#230,603
of 321,519 outputs
Outputs of similar age from BMC Gastroenterology
#11
of 15 outputs
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