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- Title
Acute-On-Chronic Liver Failure-Outcome and Its Predictors in A Tertiary Care Hospital.
- Authors
Khan, Rao Saad Ali; Khan, Muhammad Shoaib; Saeed, Farrukh; Kazmi, Syed Kumail Hasan; Siddiqi, Fuad Ahmed; Ud Din, Rafi
- Abstract
Objective: To determine the characteristics and outcome of acute-on-chronic liver failure patients being managed at Pak-Emirates Military Hospital Rawalpindi. Study Design: Cross-sectional study. Place and Duration of Study: Department of Gastroenterology at Pak-Emirates Military Hospital, Rawalpindi, from Sep 2018 to Jan 2021. Methodology: In this study, 1559 patients diagnosed with cirrhosis were studied. Patients with pre-existing chronic kidney disease, chronic obstructive pulmonary disease, cardiac failure, dementia, and stroke were excluded. All the relevant features of each case were recorded in the proforma. Results: Out of 1559 patients, 67 had Acute-on-chronic liver failure. The majority of patients who presented with acute-onchronic liver failure were in grade Ib (55%), followed by grade II (30%). Hepatitis C virus related liver cirrhosis was the commonest underlying liver disease (78.4%). Drugs were the commonest triggering factor (33%), followed by acute viral hepatitis (27%). However, a large number of patients had no identifiable cause (25.4%). Conclusion: Acute-chronic-liver failure is common in patients presenting with acute decompensation of liver cirrhosis. Patients undergoing liver transplantation in the correct window period, have good prognosis.
- Subjects
RAWALPINDI (Pakistan); CHRONIC obstructive pulmonary disease; LIVER failure; TERTIARY care; HEPATITIS C virus; VIRAL hepatitis; HEPATITIS C
- Publication
Pakistan Armed Forces Medical Journal, 2022, Vol 72, Issue 1, p190
- ISSN
0030-9648
- Publication type
Article
- DOI
10.51253/pafmj.v72i1.6415