In a quasi-experimental study design we included patients with decompensated cirrhosis, complications,  and a high degree of complexity. The intervention was a patient-centred and nurse-led clinic. Contacts to the participants were mainly by phone or face-to-face visits in the main outpatient clinic. In addition, the whole cohort of patients with cirrhosis followed in the department was monitored prior, during, and after the intervention. Data was evaluated using interrupted time series.   

Our study found that of the 55 enrolled patients, 55% became able to self-manage and were discharged from the clinic hereafter. They were characterised by having lower clinical scores and having alcohol-related cirrhosis (p<0.01). In contrast, 20% were unable to benefit from the clinic. No significant characteristics were found for this group. Data on cohort-level showed decreases in outpatient visits (p<0.05 ) and admissions (p<0.005 ) while the clinic was active.

 We can conclude that is was feasible to establish a nurse-led clinic for patients with decompensated cirrhosis and most patients became able to self-manage. Both in- and outpatient contacts were reduced while the clinic were active.

The results will be presented at the International Liver Congress i Amsterdam (EASL) on May the 10th.  2025.