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Extensive Health Care Utilization and Costs of an Early Liver Transplantation Program for Alcoholic Hepatitis
- Source :
- Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation SocietyReferences. 28(1)
- Publication Year :
- 2021
-
Abstract
- Early liver transplantation (LT) for severe alcoholic hepatitis (AH) is a rescue therapy for highly selected patients with favorable psychosocial profiles not responding to medical therapy. Given the expected increase of AH candidate referrals requiring complex care and comprehensive evaluations, increased workload and cost might be expected from implementing an early LT program for AH but have not been determined. Some centers may also view AH as a strategy to expeditiously increase LT volume and economic viability. The aim of this study was to determine the health care use and costs of an early LT program for AH. Analyses of prospective databases of AH, interhospital transfers, and the hospital accounting system at a single center were performed from July 2011 to July 2016. For 5 years, 193 patients with severe AH were evaluated at our center: 143 newly referred transfers and 50 direct admissions. Annual increases of 13% led to 2 to 3 AH transfers/month and AH becoming the top reason for transfer. There were 169 (88%) nonresponders who underwent psychosocial evaluations; 15 (9%) underwent early LT. The median cost of early LT was $297,422, which was highly correlated with length of stay (r = 0.83; P
- Subjects :
- Transplantation
medicine.medical_specialty
Hepatology
Databases, Factual
business.industry
Hepatitis, Alcoholic
medicine.medical_treatment
Liver failure
Alcoholic hepatitis
Liver transplantation
Patient Acceptance of Health Care
Single Center
medicine.disease
Liver Transplantation
Economic viability
Rescue therapy
Internal medicine
Health care
medicine
Humans
Surgery
business
Psychosocial
Delivery of Health Care
Subjects
Details
- ISSN :
- 15276473
- Volume :
- 28
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation SocietyReferences
- Accession number :
- edsair.doi.dedup.....9f729dcc4d8c1b1b592a8b8b549dbf32