Objectives. Frequent attendance for nonemergency problems to emergency departments (EDs) contributes to ED overcrowding,\nresulting in medical care delays, increased medical errors, and social and economic burdens. Most studies regarding frequent\nattenders of EDs examine general patients without classifying certain subgroups. This study aimed to investigate patients with liver\ncirrhosis who present repeatedly to the ED. Methods. This was a retrospective, observational cohort study of adult patients with a\nhistory of liver cirrhosis presenting to the ED from January 2011 to December 2015. We included patients with cirrhosis whose\nfirst ED visit occurred during the study period. We went far back for 20 years and excluded patients with any ED visits (including\nboth cirrhosis and noncirrhosis-related ones) before the study period. We categorized frequent attenders as patients with more\nthan 4 ED visits within 12 months after the first ED visit; infrequent attenders were those who did not meet this criterion. Results.\nA total of 3513 patients with cirrhosis were included in this retrospective cohort study. Compared with the infrequent attenders,\nfrequent attenders had a higher rate of presentations due to hepatic encephalopathy (15.2% vs 13.7%,..............
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