title: Readmission in Cirrhosis: a Growing Problem.
abstract: Patients with cirrhosis are at risk for several complications that require readmission. Readmissions are a direct burden on the patient and the family and are associated with negative outcomes to the patient, family, and health care system. Several recent studies have shown a high rate of readmission in patients with cirrhosis and a trend towards an increase in cost of health care delivery. Physicians and hospitals should recognize the patient at high risk for readmission not only at dismissal from hospital but also at admission. The Model for End-Stage Liver Disease (MELD) score may be used as a tool for risk stratification for readmission among patient with cirrhosis. Frailty, comorbidity, socioeconomic status, and type of health care delivery system are probable independent risk factors. Strategies to prevent readmission should target the high-risk patient.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN, 55905, USA.|Division of Gastroenterology, Department of Medicine, Phramongkutklao Hospital and College of Medicine, Royal Thai Army, Bangkok, Thailand.
authors.forename: Sakkarin
authors.initials: S
authors.lastname: Chirapongsathorn
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN, 55905, USA.
authors.forename: Jayant A
authors.initials: JA
authors.lastname: Talwalkar
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN, 55905, USA. kamath.patrick@mayo.edu.
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Kamath
keywords: Cirrhosis; Complications of cirrhosis; Costs; Health care delivery; MELD score; Readmission