Kruger et al reported a model for predicting early readmission for a patient with hepatic encephalopathy. This can help to identify a patient who may benefit from more aggressive management. The authors are from The Ohio State University.
Patient selection: cirrhosis with hepatic encephalopathy
Outcome: early readmission (30-day)
Parameters:
(1) age in years
(2) type of insurance
(3) etiology of the cirrhosis
(4) paracentesis
(5) acute kidney injury (AKI)
(6) ascites
Parameter
Finding
Points
age
< 45 years
5
45 to 54 years
2
55 to 64 years
1
>= 65 years
0
type of insurance
private
1
Medicare
2
Medicaid
4
other
0
etiology of cirrhosis
alcoholic
0
non-alcoholic
1
paracentesis
no
0
yes
4
acute kidney injury
no
0
yes
1
ascites
no
0
yes
2
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 17
Score
Risk Group
Risk Readmission
0 to 6
low
29%
7 to 19
high
40%
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