{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:17:19Z","timestamp":1747185439608,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>To establish the hospital visit history of patients who die with alcohol\u2010related liver disease (ArLD). To determine if patients with ArLD present to hospital early or in the terminal phase of their disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study of patients with a history of ArLD who died as an inpatient at three tertiary Western Australian hospitals from February 2015 to February 2017. Hospital records were reviewed to identify the number and cause of emergency department (ED), inpatient and outpatient attendances in all Western Australian public hospitals in the 10\u2009years prior to death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred fifty\u2010nine patients (23% female) had a total of 753 ED, 3535 outpatient appointments, 1602 hospital admissions and 10\u2009755 admission days. Twelve months prior to death, 82% of patients had a public hospital contact and 74% an admission. Patients who had their first hospital contact within 12 months prior to death were significantly more likely to have a liver\u2010related cause of death (<jats:italic>P<\/jats:italic> &lt;\u20090.01). Aboriginal and Torres Strait Islander patients (15% of cohort) died at a significantly younger age (<jats:italic>M<\/jats:italic> =\u200949.2, SD\u2009=\u200910.5\u2009years) than non\u2010Aboriginal and Torres Strait Islander patients (<jats:italic>M<\/jats:italic> =\u200959.9, SD\u2009=\u200910.2\u2009years, <jats:italic>P<\/jats:italic> &lt;\u20090.01). Despite having more ED attendances and hospital admissions, Aboriginal and Torres Strait Islander patients had significantly less (<jats:italic>P<\/jats:italic> =\u20090.04) outpatient appointments (Mdn\u2009=\u20095.5, interquartile range [IQR] =\u20091\u201318 vs Mdn\u2009=\u200911, IQR\u2009=\u20093\u201333).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most patients with ArLD have multiple early attendances, which present an opportunity for early interventions. There are missed opportunities for Aboriginal and Torres Strait Islander patients for outpatient hospital engagement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16339","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T06:10:04Z","timestamp":1707286204000},"page":"1003-1009","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prior hospital attendances in deceased Australian patients with alcohol\u2010related liver disease: a multicentre project"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4678-5056","authenticated-orcid":false,"given":"Chloe","family":"Attree","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Fiona Stanley Hospital  Perth Western Australia Australia"},{"name":"Department of Gastroenterology and Hepatology Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Department of Hepatology Sir Charles Gairdner Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Fennessy","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Jeffrey","sequence":"additional","affiliation":[{"name":"Department of Hepatology Sir Charles Gairdner Hospital  Perth Western Australia Australia"},{"name":"Medical School University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nickolas","family":"Kontorinis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nola","family":"Naylor","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Fiona Stanley Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Hazeldine","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Fiona Stanley Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"590","article-title":"Alcoholic liver disease \u2013 assessment and management","volume":"40","author":"Duggan A","year":"2011","journal-title":"Aust Fam Physician"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.23258"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756283X10378925"},{"key":"e_1_2_8_5_1","unstructured":"The Gastroenterological Society of Australia\/Australian Liver Association.The Economic Cost and Health Burden of Liver Diseases in Australia [homepage on the internet]. C2013 [updated 2013 Jan; Cited 2022 Jan 5]. Available from URL:https:\/\/static1.squarespace.com\/static\/50ff0804e4b007d5a9abe0a5\/t\/53321aaee4b09f967eb0c7e51395792558684\/gesa2013_revised%5B1%5D.pdf"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14809"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-016-1879-8"},{"key":"e_1_2_8_8_1","first-page":"1","article-title":"Are the opportunities to prevent alcohol related liver deaths in the UK in primary or secondary care? A retrospective clinical review and prospective interview study","volume":"16","author":"Verrill C","year":"2006","journal-title":"Subst Abuse Treat Prev Policy"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-018-0014-7"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl16477"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199505113321901"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510230513"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agn020"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365521.2016.1157889"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-022-00292-8"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2020.10.026"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13019"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2014-100491"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501327211027437"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-020-1144-6"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v14.i3.559"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.16339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T09:03:59Z","timestamp":1718615039000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.16339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,5]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/imj.16339"],"URL":"https:\/\/doi.org\/10.1111\/imj.16339","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2024,2,5]]},"assertion":[{"value":"2023-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}