Nationwide estimates and risk factors of hospital readmission in patients with cirrhosis in the United States

• DOI: 10.1111/liv.14054
• Publication Date: 2019-01-28T12:06:25Z
• Authors: Abdel‐Aziz Shaheen; Henry H. Nguyen; Stephen E. Congly; Gilaad G. Kaplan; Mark G. Swain
• Keywords: Hepatic Encephalopathy

Abstract Background The burden of cirrhosis on the healthcare system is substantial and growing. Our objectives were to estimate readmission rates hospitalization costs as well identify risk factors for 90‐day in patients with cirrhosis. Methods We conducted a weighted analysis 2014 Nationwide Readmission Database adult cirrhosis‐related complications United States assessed at 30, 60 90 days post‐index hospitalization. Predictors readmissions identified using regression models adjusting patient hospital characteristics; national was also calculated. Results Of 58 954 admitted 2014, 14 910 (25%) readmitted within because complications. main causes ascites (56%), hepatic encephalopathy (47%) bleeding oesophageal varices (9%). Independent predictors male sex (adjusted OR [ aOR ]: 1.08, 95% CI , 1.04‐1.13), age <60 ( : 1.27, 1.22‐1.32), privately insured 0.74, 0.70‐0.77), having ≥3 comorbid conditions 1.14‐1.42) being discharged against medical advice 1.41, 1.25‐1.59). cumulative cost index admission $1.8 billion, compared $0.5 billion readmission. Conclusions A quarter days, representing significant economic related this population. Interventions resource allocations reduce among cirrhotic critical.