Title: The burden and predictors of 30#day unplanned readmission in patients with acute liver
failure: a national representative database study
Version: 0 Date: 04 Mar 2024
Reviewer's report:
The authors submitted their manuscript entitled: The burden and predictors of 30#day unplanned
readmission in patients with acute liver failure: a national representative database study
I would like to raise one severe concern about the results shared by the authors. In various
portions of their results and tables, the authors have listed cells with a count of less than 11.
This is a violation of the DUA by HCUP (data provider). I would encourage the authors to go
through the guidelines in the use and publications of such de-identified data by HCUP via the
following link: https://hcup-us.ahrq.gov/db/nation/nrd/nrdchecklist.jsp
Additional concerns:
In their choice of readmission, the authors listed DIG018 as hepatic failure. DIG018 also includes
patients with chronic hepatic failure (K7210, K7211)
In their results they mentioned "60.4% were still admitted due to liver failure."
The authors are recommended to avoid using CCSR codes and instead go for specific ICD-10
codes.
The authors should also provide a clearer picture if they wanted to investigate cases with acute
or chronic LF or did they plan to investigate acute LF patients. In the discussion portion, they
have not elaborated on this. The management and prevention of acute and chronic will differ.
The authors are recommended to rerun their analysis for that portion.
Similar concerns may exist in the other CCSR codes used for the readmissions.
Title: The burden and predictors of 30#day unplanned readmission in patients with acute liver
failure: a national representative database study
Version: 0 Date: 04 Mar 2024
Reviewer's report:
The authors submitted their manuscript entitled: The burden and predictors of 30#day unplanned
readmission in patients with acute liver failure: a national representative database study
I would like to raise one severe concern about the results shared by the authors. In various
portions of their results and tables, the authors have listed cells with a count of less than 11.
This is a violation of the DUA by HCUP (data provider). I would encourage the authors to go
through the guidelines in the use and publications of such de-identified data by HCUP via the
following link: https://hcup-us.ahrq.gov/db/nation/nrd/nrdchecklist.jsp
Additional concerns:
In their choice of readmission, the authors listed DIG018 as hepatic failure. DIG018 also includes
patients with chronic hepatic failure (K7210, K7211)
In their results they mentioned "60.4% were still admitted due to liver failure."
The authors are recommended to avoid using CCSR codes and instead go for specific ICD-10
codes.
The authors should also provide a clearer picture if they wanted to investigate cases with acute
or chronic LF or did they plan to investigate acute LF patients. In the discussion portion, they
have not elaborated on this. The management and prevention of acute and chronic will differ.
The authors are recommended to rerun their analysis for that portion.
Similar concerns may exist in the other CCSR codes used for the readmissions.
Please review this paper.
user
Title: The burden and predictors of 30#day unplanned readmission in patients with acute liver
failure: a national representative database study
Version: 0 Date: 04 Mar 2024
Reviewer's report:
The authors submitted their manuscript entitled: The burden and predictors of 30#day unplanned
readmission in patients with acute liver failure: a national representative database study
I would like to raise one severe concern about the results shared by the authors. In various
portions of their results and tables, the authors have listed cells with a count of less than 11.
This is a violation of the DUA by HCUP (data provider). I would encourage the authors to go
through the guidelines in the use and publications of such de-identified data by HCUP via the
following link: https://hcup-us.ahrq.gov/db/nation/nrd/nrdchecklist.jsp
Additional concerns:
In their choice of readmission, the authors listed DIG018 as hepatic failure. DIG018 also includes
patients with chronic hepatic failure (K7210, K7211)
In their results they mentioned "60.4% were still admitted due to liver failure."
The authors are recommended to avoid using CCSR codes and instead go for specific ICD-10
codes.
The authors should also provide a clearer picture if they wanted to investigate cases with acute
or chronic LF or did they plan to investigate acute LF patients. In the discussion portion, they
have not elaborated on this. The management and prevention of acute and chronic will differ.
The authors are recommended to rerun their analysis for that portion.
Similar concerns may exist in the other CCSR codes used for the readmissions.
assistant