To Study the Etiology and Predicting Scores of Patients with acute on chronic liver failure
Journal Title: Asian Pacific Journal of Health Sciences - Year 2018, Vol 5, Issue 4
Abstract
Aim: To study the aetiology, precipitating insults of patients presenting with acute on chronic liver failure and predictors of mortality of acute chronic liver failure. Methods: The prospective study was carried out in 100 patients admitted with acute on chronic liver failure for a period of 1 year in the Department of Medicine of Government medical college and Hospital, Jammu. Results: ACLF has a predominant male preponderance i.e 92 %. The mean age of patients presenting with ACLF was 45.39 ± 1.1 yrs. Among causes of chronic liver disease alcohol was commonest (79 %) followed by Alcohol + Hepatitis C (4.0 %) ,Alcohol + hepatitis B (1 %), Hepatitis B (1 %), Hepatitis C (3 %), NASH related (4 %) and Auto immune (5 %).Etiologyof acute precipitants included alcohol (43%) followed by Alcohol with Hepatitis B/C (9 %), alcohol with Hepatitis E (4%), alcohol with hepatitis E + Dengue (2%), Hepatitis E (8%), Hepatitis B (8 %) and Hepatitis C (6%) ,Hepatitis E + Leptospirosis (2%), leptospirosis (1%) and gastrointestinal bleed + others etiology (14%) were other causes of acute etiology in patients of acute on chronic liver failure. The mean SOFA, MELD and MDF scores were found to be better predictors of mortality. Conclusion: ACLF carries a high mortality rate. Alcohol was found to be the most common cause of chronic etiology of Chronic liver disease as well as acute insult. Scoring systems such as SOFA, MELD and MDF scores were considered to better predictors of mortality.
Authors and Affiliations
Rachit Magazine
Keywords
Related Articles
- EP ID EP517858
- DOI 10.21276/apjhs.2018.5.4.3
- Views 208
- Downloads 0
Incisional Light-Guided Intervention (Ilgi) Technique for Urethral Stricture Treatment
A male urethral stricture is common problems of the low urinary tract secondary to the transurethral procedure etc.. In this paper, we define a technique is the composition of the using flexible cystoscopy and internal u...
Furcation invasion- a literature review on its treatment modalities
The pathologic resorption of bone in the anatomic area of a multirooted tooth where the roots diverge is furcation invasion. Literature review on its treatment modalities is discussed In detail in this paper.
Assessment of Lip Print Patterns in South Indian Population-Role in Forensic Medicine
Background: Forensic Medicine specialty mainly deals with medico-legal aspects. Lip prints like finger prints are individualistic and heritable. The pattern of lip print can be used as material evidence in solving medico...
A study of the efficacy of skin needling and platelet rich plasma in the treatment of androgenetic alopecia
Background: Platelet-rich plasma (PRP) is an autologous preparation of platelets in concentrated plasma that may be useful in the treatment of androgenetic alopecia (AGA). Its action depends on the released growth factor...
Comparative study on the onset time and duration of brachial plexus block with addition of potassium chloride to bupivacaine versus plain bupivacaine
Background: Peripheral nerve blockade remains a well accepted component of comprehensive anaesthetic care. The onset of brachial plexus block is slow because the anaesthetic is usually deposited at some distance from the...