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Vol. 27. Núm. S3.
Abstracts from XVII Mexican Congress of Hepatology
(diciembre 2022)
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Vol. 27. Núm. S3.
Abstracts from XVII Mexican Congress of Hepatology
(diciembre 2022)
Open Access
Causes of decompensation of liver cirrhosis and predictors of in-hospital mortality in patients admitted to the gastroenterology service of the Regional Hospital Lic. Adolfo López Mateos in the years 2017 - 2018
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M Velasco Gutiérrez, M Ortiz Aguirre, EG Salgado Parra
Regional Hospital “LIC. Adolfo López Mateos”, ISSSTE. México.
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Vol. 27. Núm S3

Abstracts from XVII Mexican Congress of Hepatology

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Introduction and Objectives

Identify 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 Methods

Daily 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.

Results

Two 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.

Discussion

Ascites 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.

Conclusions

Ascites, 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.

Funding

The resources used in this study were from the hospital without any additional financing

Declaration of interest

The authors declare no potential conflicts of interest.

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