Being accompanied to liver discharge clinic: An easy measure to identify potential liver transplant candidates among those previously considered ineligible

Table 1 Characteristics of overall patient population

Variables	Included patients[n = 69]
Age
Mean (range)	51.4 (26-69)
Sex
Male	45 (65.2%)
Race/Ethnicity
Caucasian	44 (63.8%)
Hispanic	12 (17.4%)
African American	11 (15.9%)
Other	2 (2.9%)
Insurance
Medicaid	38 (55.1%)
Medicare	13 (18.8%)
Private	14 (20.3%)
Uninsured	4 (5.8%)
Homeless	2 (2.9%)
English primary language	63 (91.3%)
Marital Status
Married	27 (39.1%)
Single	42 (60.9%)
Cirrhosis etiology
EtOH	39 (56.5%)
EtOH/HCV	15 (21.7%)
HCV	7 (10.1%)
NASH	4 (5.8%)
PBC	1 (1.4%)
NASH/EtOH	1 (1.4%)
AIH	1 (1.4%)
HBV	1 (1.4%)
Other	0 (0%)
Decompensation	63 (91.3%)
Ascites	54 (78.3%)
Hepatic encephalopathy	38 (55.1%)
Variceal hemorrhage	20 (29.0%)
Child Pugh Score
A	9 (13.0%)
B	34 (49.3%)
C	26 (37.7%)
MELD mean (range)	15.0 (6-30)
Patient reported active alcohol use on last admission	40 (58.0%)
Patient reported active substance use on last admission	9 (13.0%)
Previous 1 yr hospitalizations	44 (63.8%)
Previous 1 yr hepatology visit	25 (36.2%)
Accompanied at first TCLC	19 (27.5%)
Deceased at 1 yr	20 (29.0%)

EtOH: Alcohol; HCV: Hepatitis C virus; PBC: Primary biliary cholangitis; NASH: Non-alcoholic steatohepatitis; AIH: Autoimmune hepatitis; PSC: Primary sclerosing cholangitis; HBV: Hepatitis B virus; TCLC: Transitional care liver clinic.

Table 2 Characteristics of patients by show and no-show to the first transitional care liver clinic visit

Variables	Show patients[n = 46]	No Show patients[n = 23]	P value
Age
Mean (range)	51.8 (26-69)	50.6 (30-68)	0.63
Sex
Male	31 (67.4%)	14 (60.9%)	0.59
Race/Ethnicity
Caucasian	32 (69.6%)	12 (52.2%)	0.16
Hispanic	6 (13.0%)	6 (26.1%)	0.18
African American	6 (13.0%)	5 (21.7%)	0.35
Other	2 (4.3%)	0 (0%)	0.55
Insurance
Medicaid	22 (47.8%)	16 (69.6%)	0.09
Medicare	10 (21.7%)	3 (13.0%)	0.38
Private	11 (23.9%)	3 (13.0%)	0.29
Uninsured	3 (6.5%)	1 (4.3%)	0.72
Homeless	1 (2.2%)	1 (4.3%)	0.61
English primary language	43 (93.5%)	20 (87.0%)	0.36
Marital status
Married	19 (41.3%)	8 (34.8%)	0.60
Single	27 (58.7%)	15 (65.2%)	0.60
Cirrhosis etiology
EtOH	28 (60.9%)	11 (47.8%)	0.30
EtOH/HCV	11 (23.9%)	4 (17.4%)	0.54
HCV	3 (6.5%)	4 (17.4%)	0.16
NASH	2 (4.3%)	2 (8.9%)	0.47
PBC	1 (2.2%)	0 (0%)	1
NASH/EtOH	1 (2.2%)	0 (0%)	1
AIH	0 (0%)	1 (4.3%)	0.33
HBV	0 (0%)	1 (4.3%)	0.33
Other	0 (0%)	0 (0%)	1
Decompensation	43 (93.5%)	20 (87.0%)	0.36
Ascites	36 (78.2%)	18 (78.3%)	1
Hepatic Encephalopathy	27 (58.7%)	11 (47.8%)	0.39
Variceal hemorrhage	13 (28.3%)	7 (30.4%)	0.85
Child Pugh Score
A	5 (10.9%)	4 (17.4%)	0.45
B	24 (52.2%)	10 (43.5%)	0.50
C	17 (37.0%)	9 (39.1%)	0.86
MELD mean (range)	15.3 (6–30)	14.4 (7-26)	0.54
Patient reported active alcohol use on last admission	27 (58.7%)	13 (56.5%)	0.86
Patient reported active substance use on last admission	5 (10.9%)	4 (17.4%)	0.45
Previous 1 yr hospitalizations	29 (63.0%)	15 (65.2%)	0.86
Previous 1 yr hepatology visit	16 (34.8%)	9 (39.1%)	0.72
Accompanied at first TCLC	19 (41.3%)	0 (0.0%)	0.0001
Deceased at 1 yr	13 (28.3%)	7 (30.4%)	0.85

EtOH: Alcohol; HCV: Hepatitis C virus; PBC: Primary biliary cholangitis; NASH: Non-alcoholic steatohepatitis; AIH: Autoimmune hepatitis; PSC: Primary sclerosing cholangitis; HBV: Hepatitis B virus; TCLC: Transitional care liver clinic.

Table 3 Characteristics of patients that showed to the first transitional care liver clinic visit by transplant eligibility at 1 yr

Variables	Show patients,	Show patients,	P value
	transplant eligible 1 yr	non-transplant eligible 1 yr
	[n = 7]	[n = 39]
Age
Mean (range)	51.9 (26-69)	51.8 (34-69)	0.98
Sex
Male	5 (71.4%)	26 (66.7%)	0.80
Race/Ethnicity
Caucasian	7 (100.0%)	25 (64.1%)	0.08
Hispanic	0 (0.0%)	6 (15.4%)	0.57
African American	0 (0.0%)	6 (15.4%)	0.57
Other	0 (0.0%)	2 (5.1%)	1
Insurance
Medicaid	1 (14.3%)	18 (46.2%)	0.11
Medicare	2 (28.6%)	9 (23.1%)	0.75
Private	3 (42.9%)	9 (23.1%)	0.27
Uninsured	1 (14.3%)	3 (7.7%)	0.57
Homeless	0 (0.0%)	1 (2.6%)	1
English Primary Language	7 (100.0%)	36 (92.3%)	1
Marital Status
Married	3 (42.9%)	16 (41.0%)	0.93
Single	4 (57.1%)	23 (59.0%)	0.93
Cirrhosis Etiology
EtOH	6 (85.7%)	22 (56.4%)	0.14
EtOH/HCV	0 (0.0%)	11 (28.2%)	0.17
HCV	1 (14.3%)	2 (5.1%)	0.37
NASH	0 (0.0%)	2 (5.1%)	1
PBC	0 (0.0%)	1 (2.6%)	1
NASH/EtOH	0 (0.0%)	1 (2.6%)	1
Other	0 (0%)	0 (0%)	1
Decompensation	7 (100.0%)	36 (92.3%)	1
Ascites	6 (85.7%)	30 (76.9%)	0.60
Hepatic Encephalopathy	4 (57.1%)	23 (59.0%)	0.93
Variceal hemorrhage	1 (14.3%)	12 (27.3%)	0.79
Child Pugh Score
A	1 (14.1%)	4 (10.3%)	0.75
B	5 (71.4%)	19 (48.7%)	0.27
C	1 (14.1%)	16 (41.0%)	0.18
MELD mean (range)	13.7 (10-20)	15.6 (6-30)	0.44
Patient reported active alcohol use on last admission	2 (28.6%)	25 (64.1%)	0.08
Patient reported active substance use on last admission	0 (0.0%)	5 (12.8%)	1
Previous 1 yr hospitalizations	5 (71.4%)	24 (61.5%)	0.62
Previous 1 yr hepatology visit	3 (42.9%)	13 (33.3%)	0.63
Accompanied at first TCLC	6 (85.7%)	13 (33.3%)	0.01
Deceased at 1 yr	0 (0.0%)	13 (33.3%)	0.17

EtOH: Alcohol; HCV: Hepatitis C virus; PBC: Primary biliary cholangitis; NASH: Non-alcoholic steatohepatitis; AIH: Autoimmune hepatitis; PSC: Primary sclerosing cholangitis; HBV: Hepatitis B virus; TCLC: Transitional care liver clinic.