Abstracts from XVII Mexican Congress of Hepatology
More infoIdentify the main causes of liver cirrhosis decompensation and predictors of in-hospital mortality in patients admitted to the Gastroenterology service of the RH. Lic. Adolfo López Mateos in the years 2017 and 2018.
Material and MethodsDaily digital censuses from 2017 and 2018 were used, and patients diagnosed with decompensated cirrhosis and laboratory studies were included. The statistical software STATA V 16.0 was used, and the incremental model with p<0.000 and the VIF test and goodness of fit with the HOSMER-LEMESHOW test were performed.
ResultsTwo hundred fifty-five Patients were included, and the most frequent causes of decompensation were; ascites at 35%, encephalopathy at 34% and variceal hemorrhage at 22% (image 1). The three variables that resulted in a risk for in-hospital mortality were: elevated creatinine levels, encephalopathy, and spontaneous bacterial peritonitis.
DiscussionAscites as the first cause of liver cirrhosis decompensation is the same reported in international studies; a difference was observed in the second cause, which could be due to the fact that the sample of patients is small. Patients with any degree of encephalopathy, SBP and elevated creatinine levels had higher in-hospital deaths.
ConclusionsAscites, followed by hepatic encephalopathy and variceal hemorrhage, were the most frequent causes of decompensation in patients with liver cirrhosis admitted to the Gastroenterology service of RH Lic. Adolfo López Mateos in the years 2017 and 2018. The early identification of poor prognosis factors and the initiation of targeted treatment could improve the prognosis of patients.
FundingThe resources used in this study were from the hospital without any additional financing
Declaration of interestThe authors declare no potential conflicts of interest.
