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Incidence and risk factors associated with 30-day readmission for alcoholic hepatitis

Journal of Clinical Gastroenterology Oct 16, 2019

Garg SK, Sarvepalli S, Singh D, et al. - Researchers used the Nationwide Readmissions Database to identify the incidence rate of 30-day readmission for patients with alcoholic hepatitis (AH) and assessed potential predictors of readmission, as well as determined the 20 most frequent reasons for readmission. To identify factors related to 30-day readmission, multivariate survey logistic regression analysis was used. During the study period, the 30-day readmission rate in patients with AH was high and stable. The most frequent reasons for readmission were AH, alcoholic cirrhosis, and hepatic encephalopathy. In multivariate analysis female gender, leaving against medical advice, higher Charlson comorbidity index, ascites, and history of bariatric surgery were linked to earlier readmissions. On the other hand, older age, payer type, and discharge to skilled nursing-facility decreased this risk. Findings suggested that readmission-related factors can be useful in developing consensus-based expert guidelines, treatment algorithms, and policy changes to help lessen AH readmission.
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