[BMJ Open Gastroenterology] Changing trends of hospitalisation of liver cirrhosis in Beijing, China [中国北京肝硬化住院情况的变化趋势]

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Authors
Xiao-Yuan Bao, Bei-Bei Xu, Kai Fang, Yan Li, Yong-Hua Hu, Guo-Pei Yu
(Medical Informatics Center, Peking University)

Abstract
Objective: To examine if the hospitalisation trends of liver cirrhosis are changing with the changes of risk factors of the disease in China.

Design: Secondary analysis of hospitalisation records in the 31 top-ranking hospitals in Beijing.

Results: Between 2006 and 2010, hospitalisation from viral hepatitis cirrhosis (VHC) decreased by 10% (95% CI=5–14%, p<0.001), but non-viral hepatitis cirrhosis (NVHC) and alcoholic cirrhosis (AC) increased by 35% (26–46%, p<0.001) and 33% (19%– 47%, p<0.001), respectively. The age patterns of hospitalisation varied with different types of liver cirrhosis. The hospitalisation risks for patients with VHC and AC were significantly high in the age groups 40–49 and 50–59 years, but risks for those with NHVC were high in all age groups of 40 years or above. Overall male-to-female hospitalisation ratios for VHC, NVHC and AC were 2.71, 1.14 and 59.9, respectively. The sex ratio became smaller with time from 2006 to 2010 in hospitalised patients with VHC, but it substantially increased in those with NVHC during the same period.

Conclusions: Hospitalisation rates for liver cirrhosis in Beijing are changing with time. The changes of viral hepatitis infection and alcohol consumption in the general population may cause these changes.

BMJ Open Gastro 2015; 2:e000051 doi:10.1136/bmjgast-2015-000051