{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:29:50Z","timestamp":1786548590852,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Am J Gastroenterol"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>There is a lack of data on the impact of readmission to the same vs a different hospital following an index hospital discharge in cirrhosis patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We sought to describe rates and predictors of different-hospital readmissions (DHRs) among patients with cirrhosis and also determine the impact on cirrhosis outcomes including all-cause inpatient mortality and hospital costs. Using the national readmissions database, we identified cirrhosis hospitalizations in 2013. Regression analysis was used to determine the predictors of DHRs. A time-to-event analysis was performed to assess the impact on subsequent readmissions and all-cause inpatient mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      In 2013, there were 109,039 cirrhosis readmissions with 67% of these being same-hospital readmissions and 33% being DHRs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Two percent of readmitted patients were treated at \u22654 different hospitals. The 30-day readmission rate was 29.1%. Predictors of DHR included Medicaid payer (adjusted odds ratio [OR] 1.07, 95% confidence interval [95% CI] 1.01\u20131.14), age (OR 0.98, 95% CI 0.978\u20130.982), elective admission (OR 1.09, 95% CI 1.01\u20131.17), hepatic encephalopathy (OR 1.20, 95% CI 1.16\u20131.25), hepatorenal syndrome (OR 1.09, 95% CI 1.03\u20131.16), and low socioeconomic status (OR 1.15, 95% CI 1.06\u20131.25). No difference was observed in 30-day readmission risk following a DHR (adjusted hazard ratio 1.044, 95% CI 0.975\u20131.118). In addition, there was no increased risk of inpatient death observed during a DHR within 30 days (adjusted hazard ratio 1.08, 95% CI 0.94\u20131.23). However, patients with DHR had significantly higher hospital costs and length of stay.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Majority of cirrhosis readmissions are same-hospital readmissions. Different-hospital readmissions do not increase the risk of 30-day readmissions and inpatient mortality but are associated with higher hospital costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/ajg.0000000000000050","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T02:20:44Z","timestamp":1548382844000},"page":"464-471","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":17,"title":["Same- vs Different-Hospital Readmissions in Patients With Cirrhosis After Hospital Discharge"],"prefix":"10.14309","volume":"114","author":[{"given":"Philip N.","family":"Okafor","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augustine K.","family":"Nnadi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Saint Joseph Regional Medical Center, Mishawaka, Indiana, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Okwuchukwu","family":"Okoli","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Good Shepard Medical Center\/University of Texas Health Science Center, Tyler, Texas, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice E.","family":"Huang","sequence":"additional","affiliation":[{"name":"Mayo Clinic School of Medicine, Rochester, Minnesota, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obioma","family":"Nwaiwu","sequence":"additional","affiliation":[{"name":"Department of Family & Preventive Medicine, University of Arkansas School of Medical Sciences, Little Rock, Arkansas, 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