In-Hospital Morality after Surgery in Patients with Liver Cirrhosis: An Analysis from HIRA-NPS of South Korea, 2012-2016 = In-Hospital Morality after Surgery in Patients with Liver Cirrhosis: An Analysis from HIRA-NPS of South Korea, 2012-2016

다국어 초록 (Multilingual Abstract)

Aims: Patient of liver cirrhosis have an increased risk of in-hospital mortality after surgery. However, large-scale studies on the prognosis after surgery in these patients are lacking. This study investigated the in-hospital mortality after surgery in patients with liver cirrhosis in current 5 years.
Methods: We used the Health Insurance Review and Assessment Service-National Patient Samples (HIRA-NPS) between 2012 and 2016. In-hospital mortality and hospital stay were analyzed using the data. Mortality rates according to the surgical department were also analyzed.
Results: Of the 1,662,887 patients who underwent surgery, 16,174 patients (1.0%) patients had cirrhosis. In-hospital mortality was significantly higher in patients with cirrhosis than without cirrhosis (8.0% vs. 1.0%). In addition, total hospitalization period (22.6 days vs. 10.2 days) and use of intensive care unit (24.3% vs. 4.8%) were significantly higher in patients with liver cirrhosis. In-hospital mortality after surgery in cirrhotic patients was highest in the otorhinolaryngology surgery (15.7%), followed by neurosurgery (14.8%), thoracic and cardiovascular surgery (13.2%) and plastic surgery (10.2%) compared to the patients without cirrhosis.
Conclusions: Patients with cirrhosis have a significantly higher risk of in-hospital mortality after surgery. A new predictive scoring system for predicting postoperative mortality in these patients is needed.