MDCalc

Mumtaz Score for Readmission in Cirrhosis

Predicts 30-day readmission risk in patients with cirrhosis.

Use in patients >18 years old with decompensated cirrhosis at the time of discharge. Do not use in patients on mechanical ventilation, under palliative care consult, status post liver transplant, or admitted electively for any reason. Use variables from the index admission.

Age, years
Primary payer
Elixhauser Comorbidity Index
Hypertension, diabetes, COPD, CHF, obesity, renal failure, etc (see Evidence for full list)
Non-alcoholic etiology of cirrhosis
Ascites
Hepatic encephalopathy
Variceal bleeding
Hepatocellular carcinoma
Paracentesis during admission
Hemodialysis during admission
Disposition

Result:

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Advice

Careful discharge planning is advised for high risk patients with a focus on a proper transitional care management (TCM) system.

Management

High risk patients may benefit from the following:

  • A TCM phone call or visit within 7 days about medications refill, adherence, and side effects.

  • Social worker support for obtaining affordable medications.

  • Discharge disposition with home health or skilled nursing facility.

  • Comprehensive education for patient and families.

Critical Actions

Patients who decide to leave against medical advice should get their medications before they leave the hospital.

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