Raised serum creatinine at admission to critical care is independently associated with mortality in patients with decompensated alcoholic liver disease
2011

High Mortality in Patients with Alcoholic Liver Disease and High Serum Creatinine

Sample size: 51 publication Evidence: moderate

Author Information

Author(s): Whiteside A, Whiting P

Primary Institution: Sheffield Teaching Hospitals NHS Trust

Hypothesis

Is raised serum creatinine at admission to critical care associated with increased mortality in patients with decompensated alcoholic liver disease?

Conclusion

Patients with a serum creatinine of 150 mmol/l or greater at admission have a 94% mortality rate.

Supporting Evidence

  • Hospital mortality rate was 45%.
  • Six-month mortality rate was 49%.
  • One-year mortality rate was 51%.
  • 94% of patients with high serum creatinine died during their hospital stay.

Takeaway

If someone with liver problems has very high kidney levels when they go to the hospital, they are very likely to not survive.

Methodology

A retrospective cohort study of patients with decompensated alcoholic liver disease admitted to critical care over a 3-year period.

Limitations

The study only included patients from two hospitals and may not be generalizable.

Participant Demographics

Patients with decompensated alcoholic liver disease, ages around 50.

Statistical Information

P-Value

0.9

Statistical Significance

p=0.9

Digital Object Identifier (DOI)

10.1186/cc9518

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