Impact of social vulnerability index on patients with alcohol-related liver disease.

Autor: Jain A; Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Wellner MR; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Peng J; Department of Biostatistics, The Ohio State University, Columbus, OH, USA., Ma J; Department of Biostatistics, The Ohio State University, Columbus, OH, USA., Allen KD; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., McShane C; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Ramsey ML; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Mumtaz K; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Kelly SG; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Conteh LF; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Kirkpatrick R; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA., Sobotka LA; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State Wexner Medical Center, Columbus, OH, USA. Electronic address: Lindsay.Sobotka@osumc.edu.
Jazyk: angličtina
Zdroj: Alcohol (Fayetteville, N.Y.) [Alcohol] 2024 Aug 30; Vol. 121, pp. 147-150. Date of Electronic Publication: 2024 Aug 30.
DOI: 10.1016/j.alcohol.2024.08.005
Abstrakt: Introduction: Alcohol related liver disease (ALD) affects diverse communities with individual and social characteristics that can impact outcomes. The social vulnerability index (SVI) assigns a score between 0 and 1, where higher scores represent an increased risk of social vulnerability. We sought to assess the impact of SVI on outcomes of patients hospitalized with ALD with access to social support services.
Methods and Materials: Hospitalizations for ALD at our institution between March and August 2019 were reviewed. All patients were assigned an SVI score based on their residential census tract. Per our standard practice, patients were screened by care coordinators to identify needs for rehabilitation counseling, and care coordination after discharge. Demographics, hepatic decompensation, critical care needs, readmission, and mortality were compared.
Results: Among 73 patients admitted for alcoholic hepatitis, 32 had a low SVI and 42 had a high SVI. African American patients were more likely to have a higher SVI (35% vs 0%, p=<0.001). No significant difference in outcomes based on SVI was noted. There were 393 patients admitted for alcoholic cirrhosis including 166 with a low SVI and 227 with a high SVI. Patients that were African American (23.6% vs 5.5%, p=<0.001) or disabled (41.4% vs 29.5%, p = 0.008) had a higher SVI. No significant difference in outcomes based on SVI was noted.
Conclusion: Most patients admitted for ALD had a high SVI; however, SVI did not impact hospitalization outcomes.
Competing Interests: Declaration of competing interest None of the authors have a declaration of interest.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: