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Close follow-up care after hospital stays for liver cirrhosis with fluid buildup

Tests a monitoring program for people with cirrhosis and swelling leaving the hospital.

Key facts

Who runs it
Milton S. Hershey Medical Center
Where
Hershey, United StatesSee the site
Trial code
Registry title
Transitional Care Program for Fluid Overload in Cirrhosis
Status
Recruiting
People taking part
20 people, planned
Started
15 Feb 2025
Expected to end
1 Jun 2027
Type of study
Interventional, 2 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • Transitional Care Program
Record updated
9 March 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with cirrhosis who are in hospital with fluid overload and treated with water pills (diuretics). It tests a follow-up program after leaving hospital.

Age
Over 18 years
Sex
All sexes can join
Disease stage
Cirrhosis with fluid overload (fluid in the belly, called ascites, and/or marked swelling) that needs diuretic therapy, while in hospital at Penn State Health, Milton S. Hershey Medical Center.
Earlier treatment
People who have had a TIPS (a tube placed in the liver to lower blood pressure there) cannot join.

Main reasons for not taking part

  • Placement of a TIPS
  • Fluid in the belly from a cause other than cirrhosis, such as cancer, heart failure, pancreatitis or nephrotic syndrome
  • Not speaking English

The registry criteria, word for word

Show all 8 criteriaShow less

Who can take part

  • Patients > 18 years of age
  • Inpatient at Penn State Health, Milton S. Hershey Medical Center
  • Diagnosis of cirrhosis
  • Hospitalized with fluid overload (ascites and/or significant anasarca/edema) requiring diuretic therapy
  • English speaking

Who cannot take part

  • Ascites from an etiology other than cirrhosis, such as malignancy, heart failure, pancreatitis, nephrotic syndrome
  • Placement of a TIPS
  • Non-English speaking

Where in United States

  • Penn State Milton S. Hershey Medical CenterHershey, United StatesContact: Alison J Faust, MDTaking people

About the trial

What the trial wants to find out

The goal of this clinical trial is to learn about an intensive monitoring plan (transitional care program) in patients with cirrhosis and excessive swelling that are going to be discharged from the hospital.

Read full original descriptionShow less

The main question[s] it aims to answer are:

* How much time and what resources are needed to run such a program * How well do patients follow up with the phone calls, bloodwork, and doctor appointments? * Do the patients enrolled in the program have less need for hospitalization later, less kidney injury, better fluid control, and/or better survival compared to patients that are not in the program?

Participants will

* Be given a digital scale and a binder with educational material and a log to monitor their weights after discharge from the hospital * Receive a phone call from the study team within 72 hours of discharge and weekly * Be given a follow up appointment with hepatology within 4 weeks of discharge

Researchers will compare participants in this program to patients that receive normal care to see if there are differences in need for hospitalization later, kidney injury, fluid control, and/or survival.

The 2 groups in the trial

  • Transitional Care ProgramTreatment being tested

    Participants will receive a digital scale and monitoring log, educational material, a phone call within 72 hours of discharge and weekly for 8 weeks, and a follow up appointment with a hepatologist within 4 weeks of discharge.

  • Standard of CareNo study treatment, for comparison

    Participants will be given typical discharge and follow up instructions.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Transitional Care Program vs Standard of Care in Cirrhosis With Volume Overload: A Pilot Study
Plain-language title
Close follow-up care after hospital stays for liver cirrhosis with fluid buildupGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 14 November 2026.
Record updated
9 March 2026