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| 1 | Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt显示文摘AIM: To evaluate and validate the national trends and predictors of in-patient mortality of transjugular intrahepatic portosystemic shunt(TIPS) in 15 years.METHODS: Using the National Inpatient Sample which is a part of Health Cost and Utilization Project, we identified a discharge-weighted national estimate of 83884 TIPS procedures performed in the United States from 1998 to 2012 using international classification of diseases-9 procedural code 39.1. The demographic, hospital and co-morbility data were analyzed using a multivariant analysis. Using multi-nominal logistic regression analysis, we determined predictive factors related to increases in-hospital mortality. Comorbidity measures are in accordance to the Comorbidity Software designed by the Agency for Healthcare Research and Quality.RESULTS: Overall, 12.3% of patients died during hospitalization with downward trend in-hospitalmortality with the mean length of stay of 10.8 ± 13.1 d. Notable, African American patients(OR = 1.809 vs Caucasian patients, P < 0.001), transferred patients(OR = 1.347 vs non-transferred, P < 0.001), emergency admissions(OR = 3.032 vs elective cases, P < 0.001), patients in the Northeast region(OR = 1.449 vs West, P < 0.001) had significantly higher odds of inhospital mortality. Number of diagnoses and number of procedures showed positive correlations with in-hospital death(OR = 1.249 per one increase in number of procedures). Patients diagnosed with acute respiratory failure(OR = 8.246), acute kidney failure(OR = 4.359), hepatic encephalopathy(OR = 2.217) and esophageal variceal bleeding(OR = 2.187) were at considerably higher odds of in-hospital death compared with ascites(OR = 0.136, P < 0.001). Comorbidity measures with the highest odds of in-hospital death were fluid and electrolyte disorders(OR = 2.823), coagulopathy(OR = 2.016), and lymphoma(OR = 1.842).CONCLUSION: The overall mortality of the TIPS procedure is steadily decreasing, though the length of stay has remained relatively constant. Specific patient ethnicity, location, transfer status, primary diagnosis and comorbidities correlate with increased odds of TIPS in-hospital death. | Edward Wolfgang Lee Andrew Kuei Sammy Saab Ronald W Busuttil Francisco Durazo Steven-Huy Han Mohamed M El-Kabany Justin P Mc Williams Stephen T Kee | 2016 | World Journal of Gastroenterology2016，22，25： | 7 |
| 2 | Comparison of transpiration rates among saltcedar, cottonwood and willow trees by sap flow and canopy temperature methods显示文摘 | PAMELA L Nagler EDWARD P Glenn THOMPSON T Lewis | 2003 | Agri and For Meter2003，116，： | 2 |
| 3 | Epidural analgesia improves outcome after multiple rib fractures显示文摘 | Bttlger EM Edwards T Klotz P | 2004 | Surgery2004，136，2： | 1 |
| 4 | Environmental exposures and gene regulation in disease etiology 显示文摘 | Edwards T M Myers J P | 2007 | Envi Health Pers2007，115，9： | 1 |
| 5 | Physical performance in relation to external temperature显示文摘 | Dill D B Edwards H T Bauer P S | 1931 | Aebeitsphysiol1931，4，： | 1 |
| 6 | Effect of chemical amendments on ammonia volatilization from poultry litter显示文摘 | Moore P A J Daniel T C Edwards D R | 1995 | Journal of Environmental Quality1995，24，： | 1 |
| 7 | Hemodilution reduces early reperfusion injury in an ex vivo rabbit lung preservation model 显示文摘 | John D P Oka T Mayer E Edward A | 1994 | Ann Thorac Surg1994，57，： | 1 |
| 8 | Epidural analgesia improves outcome after multiple rib fractures显示文摘 | Bulger E M Edwards T Klotz P | 2004 | Surgery2004，136，2： | 1 |
| 9 | 13C response surface resolves humidity and temperature signals in trees 显示文摘 | EDWARDS T GRAF W TRIMBORN P | 2000 | Geochim Cosmochim Acta2000，64，： | 1 |
| 10 | Comparison of transpiration rates among sahcedar,cottonwood and wil- low trees by sap flow and canopy temperature methods 显示文摘 | Pamela L N Edward P G Thompson T L | 2003 | Agri and For Meter2003，116，： | 1 |
| 11 | Variables influencing the toxic response to organophosphates in humans 显示文摘 | KARALLIEDDE L D EDWARDS P MARRS T C | 2003 | Food Chem Toxicol2003，41，1： | 1 |
| 12 | Allocation of carbon permits within a country:a general equilibrium analysis of the United Kingdom显示文摘 | EDWARDS T H HUTTON J P | 2001 | Energy economics2001，，23： | 1 |
| 13 | Separating root and soil microbial contributions to soil respiration: A review of methods and observations显示文摘 | Hanson P J Edwards N T Garten C T | 2000 | Biogeochemistry2000，48，1： | 1 |
| 14 | Analysis of capacity fade in a lithium ion battery 显示文摘 | ANDREW T S CHARLES E H PALPH E W EDWARD P G | | Journal of Power Sources0，150，4： | 1 |
| 15 | Measurement of the Universal Gas-Constant R Using a Spherical Acoustic Resonator显示文摘 | Moldover M R Trusler J P M Edwards T J | 1988 | J Res Natl Bur Stds1988，93，2： | 1 |
| 16 | Effect of chemical amendments on ammonia volatilization from poultry litter显示文摘 | Moore P A Jr T CDanlel D R Edwards | 1995 | J Environ Qual1995，，24： | 1 |
| 17 | Variations in Mortality in Children Admitted with Pneumonia to Kenyan Hospitals 显示文摘 | Ayieko P Okiro EA Edwards T | 2012 | PLoS ONE2012，7，47： | 1 |
| 18 | Experimental determination of the fate of rising co2 droplets in seawater显示文摘 | PETER G B EDWARD T P GERNOT F | 2002 | Environ Sci Technol2002，36，： | 1 |
| 19 | International conference for the develop ment of a consensus on the management and prevention of severe candidal infections显示文摘 | Edwards J E Jr Bodey G P Bowden R A Buchner T de Pauw BE Filler SG | 1997 | Clin Infect Dis1997，25，： | 1 |
| 20 | Two cytosolic glutamine synthetase isoforms of maize are specifically involved in the control of grain production 显示文摘 | Martin A Lee J Kichey T Gerentes D Zivy M Tatout C Dubois F Balliau T Valot B Davanture M Laforgue T T Quillere I Coque M Gallais A Moro M B G Bethencourt L Habash D Z Lea P J Charcosset A Perez P Murigneux A Sakakibara H Edwards K J Hirel B | 2006 | The Plant Cell2006，18，11： | 1 |
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