ArticleLiver international : official journal of the International Association for the Study of the Liver2026
Standardization of the Cirrhosis Admission Process and Its Impact on Inpatient Management and Patient Outcomes.
Article in Liver international : official journal of the International Association for the Study of the Liver, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Standardization of the Cirrhosis Admission Process and Its Impact on Inpatient Management and Patient Outcomes.Liver international : official journal of the International Association for the Study of the Liver · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAn increase in cirrhosis-related hospitalizations has highlighted opportunities for improved patient care and standardization of practice. We created a cirrhosis admission order set with the goal of promoting guideline-directed care and improving patient outcomes.
methodsWe developed and implemented a cirrhosis order set that included dietary recommendations, diagnostic paracentesis orders and studies, common complications of portal hypertension and educational materials at time of discharge. We used a retrospective cohort design to compare post-intervention process measures and outcomes.
resultsThe use of the order set resulted in a significant increase in low sodium diet (93% vs. 37%, p = 0.001), high protein diet (91% vs. 37%, p = 0.001) and diagnostic paracentesis (46% vs. 26%, p = 0.001) performed during admission. There was also a significant reduction in time to diagnostic paracentesis (460 min vs. 1210 min, p = 0.03) and less all-cause Emergency Department visits (32% vs. 46%, p = 0.006) in the order set group. There was no significant impact on length of stay, readmission rates or in-hospital mortality. DISCUSSION: The use of a standardized order set improves inpatient management of cirrhosis and encourages guideline-directed care. This order set could easily be replicated at other institutions or among non-cirrhotic patient populations. Future work should focus on further standardization of the discharge process with the goal of having a more tangible impact on length of stay and readmission rates.
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