Abstract 239: Contemporary Trends in Outcomes and Resource Utilization in Sudden Cardiac Arrest With Chronic Liver Disease

Background: Chronic Liver disease (CLD) with sudden cardiac arrest (SCA) is associated higher mortality and morbidity due to pro inflammatory state in CLD.

Methods: Patients with CLD with SCA were selected from national inpatient sample from 2005-15 using relevant International Classification of Diseases, Ninth Revision (ICD-9) codes. Pearson’s chi-squared test and independent samples t-test was used for statistical testing.

Results: 69,113 weighted encounters were identified. Mortality was 64% (44,232 of 69,113). Mean age was 56.4(13.8). 42.9% (29,650 of 69,113) were women. Mean length of stay was 6.2 days. Mean cost was just $119,801. Of the surviving patients, 48.9% (12,145 of 24,881) were discharged home, 10.7% (2,660 of 24,881) to short term hospital, 38.7% (9,624 of 24,881) to long term care hospital. 0.4% (275 of 69,113) had implantable cardiac defibrillator, 8.2% (5,667 of 69,113) underwent left heart catheterization, 3% (2,097 of 69,113) underwent Percutaneous Coronary Intervention, 1.8% (1,212 of 69,113) had Percutaneous ventricular assist device placement.

Conclusion: Recent trends have shown decreased mortality and decreased length of stay in chronic liver disease with SCA, however, there has been an increased cost of hospital stay and resource utilization. Underlying reasons for this need further investigation.