{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T02:17:30Z","timestamp":1769048250666,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:00:00Z","timestamp":1743724800000},"content-version":"vor","delay-in-days":93,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003392","name":"Natural Science Foundation of Fujian Province","doi-asserted-by":"publisher","award":["2021J02037"],"award-info":[{"award-number":["2021J02037"]}],"id":[{"id":"10.13039\/501100003392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to evaluate the effect of primary sclerosing cholangitis (PSC) on hospitalization outcomes of inflammatory bowel disease (IBD) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study used data from the Nationwide Inpatient Sample (NIS) database from January 1, 2019, to December 31, 2020, including adults (\u2265\u200918\u2009years) admitted and diagnosed with IBD. Key outcomes included length of hospital stay (LOS), in\u2010hospital mortality, hospitalization cost, and complications. The propensity score matching (PSM) analysis was used to balance characteristics between IBD patients with and without PSC, followed by logistic regression for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After PSM analysis, 4950 patients (PSC: 990; non\u2010PSC: 3960) were analyzed. IBD patients with PSC showed higher odds of any complication (odds ratio [OR] 2.08, 95% confidence interval [CI] 1.80\u20132.39), including acute kidney injury (OR 1.31, 95% CI 1.10\u20131.55), septic shock (OR 1.84, 95% CI 1.33\u20132.54), liver cirrhosis (OR 18.19, 95% CI 14.23\u201323.25), and liver failure (OR 8.33, 95% CI 5.93\u201311.70) (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). These associations were consistently observed across subgroups with stronger associations in the Crohn's disease subgroup.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PSC significantly increases the risk of short\u2010term complications in hospitalized IBD patients and the likelihood of chronic liver disease\u2010related complications. These findings highlight the need for targeted management strategies for IBD patients with co\u2010existing PSC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.13339","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T16:47:12Z","timestamp":1743871632000},"page":"52-61","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Impact of Primary Sclerosing Cholangitis on Outcomes of Inflammatory Bowel Disease Hospitalization: A Propensity Score Matching Analysis of the Nationwide Inpatient Sample"],"prefix":"10.1111","volume":"26","author":[{"given":"Xing","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"Fujian Clinical Research Center for Liver and Intestinal Diseases  Fuzhou Fujian Province China"},{"name":"Department of Gastroenterology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"The First Clinical Medical College Fujian Medical University  Fuzhou Fujian Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"Fujian Clinical Research Center for Liver and Intestinal Diseases  Fuzhou Fujian Province China"},{"name":"Department of Gastroenterology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"The First Clinical Medical College Fujian Medical University  Fuzhou Fujian Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng Li","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"Fujian Clinical Research Center for Liver and Intestinal Diseases  Fuzhou Fujian Province China"},{"name":"Department of Gastroenterology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"The First Clinical Medical College Fujian Medical University  Fuzhou Fujian Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0855-9055","authenticated-orcid":false,"given":"Cheng Dang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"Fujian Clinical Research Center for Liver and Intestinal Diseases  Fuzhou Fujian Province China"},{"name":"Department of Gastroenterology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"The First Clinical Medical College Fujian Medical University  Fuzhou Fujian Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9188-319X","authenticated-orcid":false,"given":"Wei Wei","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"Fujian Clinical Research Center for Liver and Intestinal Diseases  Fuzhou Fujian Province China"},{"name":"Department of Gastroenterology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital Fujian Medical University  Fuzhou Fujian Province China"},{"name":"The First Clinical Medical College Fujian Medical University  Fuzhou 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