Outcomes of first emergency admissions for alcohol-related liver disease in England over a 10-year period: retrospective observational cohort study using linked electronic databases.
Keith BodgerThomas MairPeità SchofieldBenjamin SilberbergSteve HoodKate M FlemingPublished in: BMJ open (2023)
Despite improving prognosis of first admissions, we found missed opportunities for earlier recognition and intervention in primary and secondary care. In 2017/2018, one in seven were still dying during index admission, rising to one-third within a year. Nationwide efforts are needed to promote earlier detection and intervention, and to minimise avoidable mortality after first emergency presentation. Regional variation requires further investigation.
Keyphrases
- emergency department
- randomized controlled trial
- healthcare
- palliative care
- public health
- quality improvement
- cross sectional
- loop mediated isothermal amplification
- emergency medical
- pain management
- real time pcr
- affordable care act
- type diabetes
- case report
- metabolic syndrome
- machine learning
- alcohol consumption
- health insurance
- chronic pain
- skeletal muscle
- sensitive detection