Hepatology
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See the full rubric →Preventable Visits to the Emergency Department in Patients with Cirrhosis.
Clinical takeawayConsider optimizing outpatient hepatology access, paracentesis availability, and medication management for cirrhosis patients to reduce preventable ED visits, particularly in those with active alcohol use, lack of primary care access, or uncontrolled ascites.
What it found15% of ED visits in cirrhosis patients were preventable, with urgent hepatology follow-up (45%), paracentesis access (33%), and outpatient medication management (31%) as key interventions. Preventable visits had lower 90-day mortality (10% vs 17%; p=0.001) but higher 90-day ED revisits (50% vs 41%; p=0.003) compared to non-preventable visits. Preventability was adjudicated using predefined cirrhosis-specific criteria: urgent hepatology evaluation, urgent paracentesis, expanded outpatient access, or outpatient medication optimization.
ContextThis study highlights a significant proportion of preventable ED visits in cirrhosis patients, challenging current outpatient care models and suggesting targeted redesign to reduce acute healthcare use.
No standard claimed for this paper
Every paper is compared to the standard governing its question. This one is not: either no standard in the corpus matches it, or the comparison did not hold up on review and was withdrawn rather than published unverified. Both are logged.
Parvataneni S … Desai AP · Clinical and Translational Gastroenterology · IF 3.4 · PubMed ↗