Reporting the cases of alcohol-associated hepatitis using the National Inpatient Sample data

doi:10.3748/wjg.v29.i10.1648

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World Journal of Gastroenterology

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Letter to the Editor

World J Gastroenterol. Mar 14, 2023; 29(10): 1648-1650
Published online Mar 14, 2023. doi: 10.3748/wjg.v29.i10.1648

Reporting the cases of alcohol-associated hepatitis using the National Inpatient Sample data

Natalie Marlowe, Wei-Qi Lin, Suthat Liangpunsakul

Natalie Marlowe, Wei-Qi Lin, Durect Corporation, Cupertino, CA 95014, United States

Suthat Liangpunsakul, Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University, Indianapolis, IN 46202, United States

Author contributions: Marlowe N and Lin WQ drafted the manuscript; Liangpunsakul S criticized and edited the manuscript.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Corresponding author: Suthat Liangpunsakul, MD, Full Professor, Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University, 550 University Blvd, Indianapolis, IN 46202, United States. sliangpu@iu.edu

Received: October 25, 2022
Peer-review started: October 25, 2022
First decision: November 18, 2022
Revised: November 29, 2022
Accepted: March 2, 2023
Article in press: March 2, 2023
Published online: March 14, 2023
Processing time: 136 Days and 1.2 Hours

Abstract

The letter is to respond to the recent publication “Trends in hospitalization for alcoholic hepatitis from 2011 to 2017: A USA nationwide study” (World J Gastroenterol 2022; 28: 5036-5046). We noticed a significant difference in the total numbers of reported hospitalized alcohol-associated hepatitis (AH) patients between this publication and our publication on Alcohol Clin Exp Res (2022; 46: 1472-1481). We believe the number of “AH-related hospitalizations” inflated by the inclusion of patients with non-AH forms of alcohol-associated liver disease.

Keywords: Hospitalization; Alcoholic hepatitis; Alcohol-associated liver disease

Core Tip: We analyzed the most recent National Inpatient Sample data from 2015-2019 using International Classification of Diseases-10 codes and found an increase in alcohol-associated hepatitis (AH) cases from 110135 to 136620 in 2015 and 2019, respectively. The total numbers of reported AH patients in the retrospective study entitled “Trends in hospitalization for alcoholic hepatitis from 2011 to 2017: A USA nationwide study”, we believe, included patients with non-AH forms of alcohol-associated liver disease.