Agrawal et al identified risk factors for 30-day readmission for a patient with decompensated cirrhosis. These can help to identify a patient who may benefit from more aggressive management. The authors are from the Dayton VA Medical Center and Wright State University in Dayton,

Patient selection: hospitalized patient with decompensated cirrhosis (with hepatocellular carcinoma in 14.4%)


The one risk factor for 30-day readmission identified on multivariate analysis was an increased body mass index (BMI). The BMI for readmits was 32 +/- 7.8 vs 27.8 +/- 6.8 for controls.


The amount of ascites was not measured but would impact body weight.


Risk factors from univariate analysis:

(1) renal disease (higher serum BUN, serum creatinine)

(2) number of cirrhosis-related complications

(3) lower body temperature (97.2°F +/- 1.2)


The authors believed that about 37% of readmissions were preventable.


Risk factors for frequent readmissions over the following year:

(1) body mass index

(2) number of cirrhosis-related complications

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