Journal article
Predictor of 90-Day Readmission Rate for Hepatic Encephalopathy
Southern medical journal (Birmingham, Ala.), Vol.109(6), pp.365-369
06/01/2016
DOI: 10.14423/SMJ.0000000000000475
PMID: 27255094
Abstract
Objectives The purpose of our study was to identify clinical parameters associated with readmissions within 90 days in patients with hepatic encephalopathy (HE).
Methods We reviewed electronic medical records of patients admitted between January 1, 2010 and September 30, 2013 at University Medical Center, Lubbock, Texas. Inclusion criteria were admission to the hospital with diagnosis of HE in patients older than 18 years. We compared the patients with readmission within 90 days with patients with no readmission using routine clinical data.
Results A total of 140 admissions met inclusion criteria; 35% were white, 59.3% were Hispanic, and their mean age was 55.6 10.5 years. The median admission Model for End-Stage Liver Disease score was 15.5 (4-38). Univariate analysis demonstrated that a history of diabetes mellitus, a history of hypertension, prior transjugular intrahepatic portosystemic shunt placement, a history of prior HE, and the use of lactulose posthospitalization were associated with increased readmission rates and the presence of gastrointestinal bleeding was associated with decreased readmission rates (P < 0.05 for each factor). Multivariate logistic regression demonstrated that history of hypertension (P = 0.02) predicted an increased readmission rate.
Conclusions Our study demonstrates that hypertension increased the risk of readmission in patients with HE. More intensive interventions in these patients may decrease readmission rates and improve outcomes.
Details
- Title: Subtitle
- Predictor of 90-Day Readmission Rate for Hepatic Encephalopathy
- Creators
- Supannee Rassameehiran - Texas Tech University Health Sciences CenterCharoen Mankongpaisarnrung - Texas Tech University Health Sciences CenterGrerk Sutamtewagul - Texas Tech University Health Sciences CenterSaranapoom Klomjit - Texas Tech University Health Sciences CenterAriwan Rakvit - Texas Tech University Health Sciences Center
- Resource Type
- Journal article
- Publication Details
- Southern medical journal (Birmingham, Ala.), Vol.109(6), pp.365-369
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.14423/SMJ.0000000000000475
- PMID
- 27255094
- ISSN
- 0038-4348
- eISSN
- 1541-8243
- Number of pages
- 5
- Language
- English
- Date published
- 06/01/2016
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984359860802771
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