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Chronic liver disease ED presentations in Queensland

Epidemiology of Patients With Chronic Liver Disease Presenting to Emergency Departments in Australia
Emergency Medicine Australasia · Added 27 July 2026

CLD‐related ED presentations are increasing and place substantial demand on hospital services in Queensland.

Study type
Cohort
Design
Statewide data linkage cohort
Participants
23,578 CLD-related ED presentations involving 11,961 adults across 104 Queensland EDs
Main finding
CLD presentations rose 2% annually (IRR 1.02, 95% CI 1.02–1.03); 86.1% admitted, 4.5% to ICU, 4.1% in-hospital death; predictors of 30-day mortality included cirrhosis (aHR 6.92), malignancy (aHR 3.21) and hepatorenal syndrome (aHR 3.15); tertiary hospital presentation had lower mortality (aHR 0.75, 95% CI 0.68–0.82)
Caveat
Retrospective linked administrative data; Queensland-only; residual confounding likely
Bottom line
Context only

Learning goal

Understand the growing burden of chronic liver disease presentations and how they shape my prehospital assessment and destination decisions.

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