Copyright
©The Author(s) 2019.
World J Hepatol. Aug 27, 2019; 11(8): 646-655
Published online Aug 27, 2019. doi: 10.4254/wjh.v11.i8.646
Published online Aug 27, 2019. doi: 10.4254/wjh.v11.i8.646
Factor | Total, n = 169 | Intervention, n = 76 | Control, n = 93 | P value |
Male | 86 (50.9) | 41 (53.9) | 45 (48.4) | 0.54 |
Age | 58.2 ± 12.0 | 58.6 ± 11.4 | 57.9 ± 12.6 | 0.75 |
Etiology of cirrhosis | ||||
Alcohol | 55 (32.5) | 27 (35.5) | 28 (30.1) | |
NAFLD | 40 (23.7) | 18 (23.7) | 22 (23.7) | |
HCV | 27 (16.0) | 11 (14.5) | 16 (17.2) | |
HBV | 2 (1.2) | 0 | 2 (2.2) | 0.49 |
Combination of above | 5 (3.0) | 1 (1.3) | 4 (4.3) | |
Others | 40 (24.9) | 19 (25.0) | 21 (22.6) | |
MELD score during index admission | 17.7 ± 7.9 | 17.8 ± 8.6 | 17.5 ± 7.3 | 0.88 |
Problems during initial hospitalization | ||||
HE | 64 (37.9) | 34 (44.7) | 30 (32.3) | 0.11 |
Infection | 51 (30.2) | 23 (30.3) | 28 (30.1) | 1 |
AKI | 64 (37.9) | 30 (39.5) | 34 (36.6) | 0.75 |
GIB | 57 (33.7) | 28 (36.8) | 29 (31.2) | 0.51 |
Index admission LOS, d | 5 (3.0, 9.0) | 6 (3.0, 10.5) | 5 (4.0, 9.0) | 0.95 |
Discharge destination | 0.43 | |||
Home | 100 (59.2) | 41 (53.9) | 59 (63.4) | |
Home with care | 35 (20.7) | 17 (22.4) | 18 (19.4) | |
Skilled nursing facility | 34 (20.1) | 18 (23.7) | 16 (17.2) | |
Follow up appointment provided prior to discharge | 138 (82.9) | 63 (82.9) | 75 (80.6) | 0.53 |
Came for appointment | ||||
Yes | 59 (34.9) | 27 (35.5) | 32 (34.4) | 0.98 |
No | 63 (37.3) | 29 (38.2) | 34 (36.6) | |
No appointment provided | 30 (17.8) | 13 (17.1) | 17 (18.3) | |
Admitted before appointment | 16 (9.5) | 7 (9.2) | 9 (9.7) | |
Died before appointment | 1 (0.6) | 0 | 1 (1.1) | |
Duration between discharge and appointment | 14 (7, 28) | 14 (7, 28) | 13 (9, 23) | 0.79 |
Readmissions within | ||||
1 mo | 63 (37.3) | 28 (36.8) | 35 (37.6) | 1 |
3 mo | 93 (55.0) | 43 (56.6) | 51 (54.8) | 0.76 |
6 mo | 107 (63.3) | 49 (64.5) | 58 (62.4) | 0.87 |
Problems during initial readmission | ||||
HE | 36 (21.3) | 21 (42.9) | 15 (26.0) | 0.11 |
Infection | 28 (16.6) | 14 (28.6) | 14 (24.1) | 1 |
AKI | 47 (27.8) | 22 (44.9) | 25 (43.1) | 1 |
GIB | 17 (10.1) | 6 (12.2) | 11 (19.0) | 0.3 |
Time between discharge and readmit, d | 24 (11, 66) | 22 (11, 59) | 23.5 (12, 57) | 0.63 |
Readmission LOS, d | 6 (3, 10) | 5 (3, 8) | 6 (4, 12) | 0.06 |
Alive at | ||||
1 mo | 156 (92.3) | 72 (94.7) | 84 (90.3) | 0.39 |
3 mo | 137 (81.1) | 66 (86.8) | 71 (76.3) | 0.11 |
6 mo | 128 (75.7) | 64 (84.2) | 64 (68.8) | 0.031 |
- Citation: Rao BB, Sobotka A, Lopez R, Romero-Marrero C, Carey W. Outpatient telephonic transitional care after hospital discharge improves survival in cirrhotic patients. World J Hepatol 2019; 11(8): 646-655
- URL: https://www.wjgnet.com/1948-5182/full/v11/i8/646.htm
- DOI: https://dx.doi.org/10.4254/wjh.v11.i8.646