Abstracts of the 2023 Annual Meeting of the ALEH
More infoLiver cirrhosis is the seventh cause of death in Ecuador and highest morbidity and mortality is a consequence of the decompensation of the disease. This study aimed to analyze the decompensations that cause admission, readmission and mortality in cirrhotic patients admitted to the gastroenterology unit at Eugenio Espejo Specialty Hospital from January 2020 to December 2021
Materials and Methodsa descriptive, observational and cross-sectional view study was conducted, with non-probabilistic random convenience sampling. We obtained the data from the medical records using the data collection instrument developed for this purpose and the data were analyzed using the statistical package IBM SPSS Statistics v28.
Results251 admissions for decompensated cirrhosis were analyzed, corresponding to 147 patients, of which 65.31% registered only one admission and 34.69% readmitted at least once during the study period. In the sample, 51.7% were women, and mean age was 62.08 (+/-12.8) years. The main etiology of cirrhosis was cryptogenic in females and enolic in males. The main cause for admission in the first hospitalization was upper gastrointestinal bleeding, reported in 37.4%, followed by encephalopathy and ascites (32.0% and 23.8%). The 30 and 90-days readmission rates were 41.3% and 32.7%, respectively, and the main cause for readmission was encephalopathy in 50% of patients, followed by upper gastrointestinal bleeding in 47.1% (mostly non-variceal). In-hospital mortality was 8.4% and the main associated complications were encephalopathy and acute kidney injury, both described in 47.6% of patients.
Conclusionsthe main complication that led to hospital admission in the first hospitalization was variceal upper gastrointestinal bleeding and encephalopathy on readmission. The complications associated with higher mortality were encephalopathy, acute kidney injury and ACLF.
