Evidence map›Paper›PMID 42402069›Full record

ArticleDigestive diseases and sciences2026

Prevalence and Impact of Protein-Calorie Malnutrition in Hospitalized Patients with Steatotic Liver Disease.

Alexandra C Greb, Sowon Kim, Andrew Roney, Peng-Sheng Ting, Berkeley N Limketkai, Po-Hung Chen

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Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Alexandra C Greb *Department of Medicine, University of California, Los Angeles, CA, USA.
Sowon Kim *Olive View, UCLA Medical Center, Sylmar, CA, USA.
Andrew RoneyDepartment of Medicine, University of California, Los Angeles, CA, USA.
Peng-Sheng TingDivision of Gastroenterology and Hepatology, Tulane University School of Medicine, New Orleans, LA, USA.
Berkeley N LimketkaiDepartment of Medicine, University of California, Los Angeles, CA, USA.
Po-Hung ChenDivision of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. pchen37@jhmi.edu.

Funding

Project 4-Early Liver Transplantation for Severe Alcoholic Hepatitis: Animal StudiesP50AA027054 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ZHAOLI SUN · 2019 to 2026
$15.1M
Candidate Selection for Liver Transplantation in Patients with Alcohol-related Liver DiseaseK23AA028297 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI CHEN, PO-HUNG (VICTOR) · 2020 to 2024
$991k
National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health K23AA028297; P50AA027054NIAAA NIH HHS K23 AA028297NIAAA NIH HHS P50 AA027054
6 · The paper itself

Abstract

purposePatients with liver disease often experience nutritional insufficiency due to an interplay of metabolic disturbances and dietary alterations leading to decreased muscle mass and the development of protein-calorie malnutrition (PCM). This study aimed to evaluate the prevalence of PCM in patients with steatotic liver disease (alcohol-associated liver disease (ALD) and metabolic dysfunction-associated steatotic liver disease (MASLD)) and their impacts on mortality and healthcare utilization.

methodsWe identified hospitalizations with ALD, MASLD, and PCM using International Classification of Diseases codes in the National Inpatient Sample from 2016 to 2020. Descriptive analyses compared hospitalizations with and without PCM. Multivariable linear models adjusting for confounders evaluated the association between PCM and inpatient mortality, length of stay (LOS), and total charges.

resultsPCM was found to be significantly more prevalent among hospitalizations with ALD or MASLD than those with neither (ALD 175.5 versus 51.8; MASLD 149.0 vs. 50.7; neither: 49.3 per 1000 hospitalizations; p < 0.001). Among hospitalizations with ALD nor MASLD, PCM was significantly associated with higher mortality (ALD adjusted odds ratio [aOR] 1.61; 95% CI 1.55-1.66; MASLD aOR 1.89; 95% CI 1.84-1.93), LOS (ALD 3.78 more days; 95% CI 3.67-3.88; MASLD 5.65 more days; 95% CI 5.53-5.77), and total charges (ALD $45,013; 95% CI $42,549-$47,477; MASLD $74,502; 95% CI $71,214-$77,789).

conclusionWe found a higher prevalence of PCM among individuals with ALD compared to those with MASLD nor neither condition. PCM was associated with increased mortality, LOS, and total charges in those with ALD and MASLD. Our findings underscore the importance of early identification and management of PCM in patients with steatotic liver disease to mitigate adverse outcomes and reduce healthcare utilization.

Indexed as

Fatty LiverHospitalizationProtein-Energy MalnutritionAdultAgedFemaleHospital MortalityHumansLength of StayMaleMiddle AgedPrevalenceUnited StatesAlcohol-associated liver disease (ALD)Metabolic dysfunction-associated steatotic liver disease (MASLD)National (nationwide) inpatient sample (NIS)Protein-calorie malnutrition (PCM)

Identifiers

PMID42402069
PMCPMC13585862

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.