Burden and baseline characteristics of patients with decompensated liver disease in Tertiary Care Hospital Gujrat.

  • Irfan Younus Nawaz Sharif Medical College, University of Gujrat.
  • Muhammad Zahid Ali Nawaz Sharif Medical College, University of Gujrat.
  • Muhammad Ajmal Aziz Bhatti Shaheed Teaching Hospital, Gujrat.
  • Hina Akhtar Aziz Bhatti Shaheed Teaching Hospital, Gujrat.
  • Javeria Ali Aziz Bhatti Shaheed Teaching Hospital, Gujrat.
  • Faiza Altaf Aziz Bhatti Shaheed Teaching Hospital, Gujrat.
Keywords: Ascites, Complications of Cirrhosis, Decompensated Cirrhosis, Hepatitis C, Hospitalization

Abstract

Objective: To determine the load, clinical and laboratory findings of the patients with decompensated cirrhosis admitted in medical department of tertiary care hospital and to make plan for the improvement of these patients. Study Design: Cross Sectional study. Setting: Department of medicine of Aziz Bhatti Shaheed Teaching Hospital, Gujrat. Period: from 1st January 2019 to 31st March 2019. Material & Methods: All 964 patients who were admitted included in study, clinical and laboratory features of patients with decompensated cirrhosis were recorded. Results: Male were in majority (53.7%), median age was 39 years. Decompensated cirrhosis was found  in  216 (22.4%), patients due to complication of  Diabetes Mellitus were 170 (17.6%), COPD & Asthma was found in 130 patients(13.5%), Stroke & Hypertension in 126 patients while Gastroenteritis 6% and infectious diseases RTI, UTI, Enteric Fever etc were present in 46 patients. Among 216 patients, one hundred & seventy eight were Hepatitis C Positive, fifteen had Hepatitis B, and eight had history of alcohol consumption. Seven patients were both Hepatitis B and C positive while in 3.6% etiology was other than mentioned above. Ascites was noted in two hundred six patients, 36.5% had variceal bleed while 51 admitted due to encephalopathy. Conclusion: HCV related cirrhosis and its complications like upper GI bleed, encephalopathy, ascites and hepatoma are major burden on our hospitals and need special attention.

Author Biographies

Irfan Younus, Nawaz Sharif Medical College, University of Gujrat.

MBBS, MD (Gastroenterology)
Assistant Professor Gastroenterology

Muhammad Zahid Ali, Nawaz Sharif Medical College, University of Gujrat.

MBBS, FCPS (Cardiology)
Assistant Professor Cardiology

Muhammad Ajmal, Aziz Bhatti Shaheed Teaching Hospital, Gujrat.

MBBS, FCPS (Gastroenterology)

Senior Registrar

Hina Akhtar, Aziz Bhatti Shaheed Teaching Hospital, Gujrat.

MBBS, FCPS (Medicine)
Senior Registrar

 

Javeria Ali, Aziz Bhatti Shaheed Teaching Hospital, Gujrat.

MBBS, FCPS (Medicine)
Senior Registrar

 

Faiza Altaf, Aziz Bhatti Shaheed Teaching Hospital, Gujrat.

MBBS

Medical Officer Medicine

 

Published
2021-02-10