Evidence map›Paper›PMID 32117694›Full record

ArticleEuroasian journal of hepato-gastroenterology

Predictors of Three-month Hospital Readmissions and Mortality in Patients with Cirrhosis of Liver.

Anurag Lavekar, Dhananjay Raje, Aarsha Sadar, Tanuja Manohar, Kavutharapu Sri Manjari, Pradeep T Satyanarayana

Open access · bronzeAbstract read
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Article in Euroasian journal of hepato-gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 71% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Anurag LavekarDepartment of Gastroenterology and Hepatology, JSS Medical College and Hospital, Mysore, Karnataka, India.
Dhananjay RajeDepartment of Biostatistics, Data Analysis Group, MDS Bio Analytics Private Limited, Nagpur, Maharashtra, India.
Aarsha SadarDepartment of Gastroenterology and Hepatology, JSS Medical College and Hospital, Mysore, Karnataka, India.
Tanuja ManoharDepartment of General Medicine, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.
Kavutharapu Sri ManjariDepartment of Genetics and Biotechnology, University College for Women, Koti, Hyderabad, Telangana, India.
Pradeep T SatyanarayanaDepartment of Community Medicine, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India.
JSS Medical College and Hospital · INNKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital · INSri Devaraj Urs Medical College · INUniversity College for Women · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rate of readmission to the hospital and mortality within 3 months is used as a quality measure for hospitalized patients with advanced liver disease; however, the topic has not been studied adequately under Indian context. MATERIALS AND

methodsThis study was a longitudinal study conducted from March 2017 to March 2018. Patients admitted with liver cirrhosis at inpatient hepatology service in Tertiary Health Care Centre, Mysore, India, were included for the study. A total of 232 patients were studied and their demographic, clinical, biochemical parameters along with readmission status and outcomes within 3 months of observation were recorded. The effect of these factors on readmission and mortality was studied through multivariate logistic regression.

resultsThe risk of readmission within 3 months was significantly associated with the presence of hydrothorax, hepatorenal syndrome (HRS), and portal vein thrombosis (PVT). Maddrey's discriminant function (DF), model for end-stage liver disease (MELD) score, and the Child-Turcotte-Pugh (CTP) C grade also significantly increased the odds of readmission. The area under curve (AUC) for DF and MELD were 0.927 and 0.928, respectively. Both DF and MELD significantly increased the odds of mortality.

conclusionThe present study revealed that the parameters such as MELD and DF score and complications such as hydrothorax, HRS, and PVT are the most predictive indicators of cirrhosis complication to ascertain the rate of readmission and mortality within 3 months of patient discharge. HOW TO CITE THIS ARTICLE: Lavekar A, Raje D, Sadar A,

Indexed as

CirrhosisLiver disordersModel for end-stage liver diseaseReadmission

Identifiers

PMID32117694
PMCPMC7047310
OpenAlexW2999735627

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.