Please use this identifier to cite or link to this item: doi:10.22028/D291-36359
Title: Liver stiffness as surrogate parameter in emergency assessment for inpatient health care utilization
Author(s): Kaddu-Mulindwa, Dominic
von Martial, Marius
Thiel-Bodenstaff, Angela
Lesan, Vadim
Ewen, Sebastian
Mahfoud, Felix
Lammert, Frank
Krawczyk, Marcin
Language: English
Volume: 17
Issue: 4
Publisher/Platform: PLOS
Year of Publication: 2022
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Background Transient elastography (TE) allows non-invasive quantification of liver stiffness (LSM) and steatosis (controlled attenuation parameter, CAP). Here we test the feasibility and utility of TE in the emergency department (ED) and investigate whether LSM predicts longer hospitalization and reimbursement for non-elective patients. Methods LSM and CAP were determined in prospectively recruited consecutive adult patients admitted to the ED of a tertiary referral center. Patients were stratified according to the 9.1 kPa and 13.0 kPa LSM cut-offs. Elastography measurements were correlated with clinical and outcome parameters, including duration of hospital stay and hospitalization costs. Results In 200 ED patients (133 men, age 18 – 97 years), median LSM was 5.5 kPa (2.4 – 69.1 kPa), and median CAP was 252 dB/m (100 – 400 dB/m). In total, 39 patients (19.5%) presented with LSM 9.1 kPa, and 24 patients (12.0%) presented with LSM 13.0 kPa. Heart failure (n = 19) was associated with higher LSM (p = 0.045). Patients with LSM 9.1 kPa were significantly (p < 0.01) more likely to require longer hospitalization than those with lower LSM. Patients with LSM 13.0 kPa generated significantly (p = 0.001) higher costs as compared to patients with low LSM. Conclusions Transient elastography represents an easily accessible screening tool in ED that might help identify patients in need of increased health care resources.
DOI of the first publication: 10.1371/journal.pone.0266069
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-363590
ISSN: 1932-6203
Date of registration: 3-Jun-2022
Faculty: M - Medizinische Fakultät
Department: M - Innere Medizin
Professorship: M - Prof. Dr. Michael Böhm
M - Prof. Dr. Frank Lammert
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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