Berman et al identified risk factors for readmission of a patient with cirrhosis. These can help to identify a patient who may benefit from more aggressive management. The authors are from Indiana University and the University of Colorado.
Patient selection: advanced liver disease (cirrhosis in text)
Exclusion: readmission for liver transplant
Risk factors for 30-day readmission:
(1) MELD score at discharge
(2) male sex
(3) diabetes mellitus
MELD Score at Discharge
30-Day Readmission
<= 15
16%
15.1 to 20
21%
20.1 to 30
28%
> 30
29%
Risk factors for 90-day mortality:
(1) older age
(2) male sex
(3) MELD score at discharge
(4) hospital readmission within 30 days
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