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Adherence to cirrhosis quality indicators

TS Ted Spiewak
AT Amir Taefi
SP Shruti Patel
CL Chin-Shang Li
EC Eric Chak
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We determined adherence to cirrhosis quality indicators by assessing the following: receiving beta-blockers at discharge for secondary prophylaxis after being admitted for variceal bleed, receiving prophylactic antibiotics (IV ceftriaxone or equivalent) in the setting acute variceal hemorrhage, receiving diuretics at discharge for medium to large ascites in the absence of renal failure, receiving spontaneous bacterial peritonitis (SBP) prophylaxis at discharge with after diagnosis and treatment of SBP, receiving intravenous albumin as an inpatient in the setting acute SBP (1.5 g/kg IV on day 1, then 1 g/kg on day 3), receiving IV antibiotics (cefotaxime or equivalent) for treatment of SBP, and receiving lactulose and/or rifaximin for hepatic encephalopathy (HE). Patients who did not receive this level of care in any of these categories were counted as non-adherent for our analyses for each respective category.

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