HepHospital: A Pilot Trial of a Hepatology Home Hospital Intervention for Patients With Advanced Liver Disease

Eligibility Criteria

• 1. Adult patients ≥ 18 years old with diagnosis of cirrhosis based on histology, radiology, and/or elastography presenting to the emergency department or inpatient general medicine service
• 2. Patients must have one of the following:
• 1. Ascites (requiring diuretics or serial large volume paracenteses)
• 2. Hepatic hydrothorax (requiring diuretics)
• 3. Hepatic encephalopathy (requiring medications)
• 1. History of solid organ transplantation
• 2. On hemodialysis
• 3. MELD score \> 20
• 4. Score \<10 on Simplified Animal Naming Test (S-ANT1)
• 5. Current admission for hemodynamically significant GI bleeding or alcohol withdrawal
• 6. Require routine administration of controlled substances
• 7. Those deemed ineligible based on the MGH Home Hospital, inpatient medicine or hepatology clinician evaluation