{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T19:12:58Z","timestamp":1783624378877,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Nationwide data on readmissions after the transjugular intrahepatic portosystemic shunt (TIPS) procedure are lacking. We aimed to investigate the 30\u2010day readmission rate after TIPS procedure, reasons, and predictors for readmissions and its impact on resource utilization and mortality in the USA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified all adults who underwent an inpatient TIPS procedure between 2010 and 2014 using the National Readmission Database. Outcomes included all\u2010cause 30\u2010day readmission rate, reasons and predictors of readmissions, mortality rate, and mean hospitalization charges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of a total of 31\u00a0230 hospitalizations with TIPS procedure, 28\u00a0021 patients met the study criteria and were finally included. The mean age of patients was 56.90\u00a0years, and 63.84% were men. All\u2010cause 30\u2010day readmission rate was 27.81%. Hepatic encephalopathy with or without coma was the most common reason for readmissions in at least 36.43% patients. The in\u2010hospital mortality for index hospitalization and 30\u2010day readmission was 10.69% and 5.85%, respectively. The mean hospitalization charges for index hospitalization and readmissions were $153\u00a0357 and $45\u00a0751, respectively. Advanced age, Medicaid insurance, higher Charlson comorbidy index, ascites as indication of TIPS, and nonspecific or hepatitis C cirrhosis etiologies for cirrhosis were found to be independent predictors of 30\u2010day readmissions after a TIPS procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study found a high rate of readmission for patients undergoing TIPS procedure, and the majority of these readmissions were related to hepatic encephalopathy. Further studies highlighting areas for improvement, particularly for patient selection and post\u2010discharge care, are needed to reduce readmissions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.15194","type":"journal-article","created":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T15:53:25Z","timestamp":1595692405000},"page":"775-781","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Rate, reasons, predictors, and burden of readmissions after transjugular intrahepatic portosystemic shunt placement"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7743-7740","authenticated-orcid":false,"given":"Ahmad","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Medicine West Virginia University Health Sciences Center Charleston Division  Charleston West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Maheshwari","sequence":"additional","affiliation":[{"name":"Department of Medicine Maimonides Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamesh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Medicine Baystate Medical Center  Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadija","family":"Naseem","sequence":"additional","affiliation":[{"name":"Department of Medicine Charleston Area Medical Center  Charleston West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Chowdry","sequence":"additional","affiliation":[{"name":"Department of Medicine West Virginia University Health Sciences Center Charleston Division  Charleston West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailendra","family":"Singh","sequence":"additional","affiliation":[{"name":"Charleston Gastroenterology Associates  Charleston West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cld.2014.07.006"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.23383"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1382790"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-016-4233-z"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010270"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12701"},{"key":"e_1_2_5_8_1","unstructured":"Overview of the Nationwide Readmissions Database (NRD). 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