Clinical-epidemiological profile of cirrhotic patients hospitalized in a public hospital of reference in the state of Roraima
DOI:
https://doi.org/10.18227/hd.v4i2.7536Keywords:
Liver cirrhosis, upper gastrointestinal bleeding, ascites, mortalityAbstract
Introduction: Liver cirrhosis is a multifactorial preventable disease, considered the main cause of chronic liver disease and it is associated with increased morbimortality and reduced quality of life. Objective: To characterize the clinical epidemiological profile of hospitalized patients with hepatic cirrhosis at the General Hospital of Roraima. Methods: Retrospective observational study of 37 medical records of patients with liver cirrhosis who were admitted in the General Hospital of Roraima - Boa Vista-RR from January 1st, 2017 to December 31st, 2017. Results: The mean age was 54.2 years, and the sample was predominantly male (68%) and brown (78%). Most common etiologies: alcohol in 41%, hepatitis C virus (HCV) in 14%, alcohol + HCV in 5% and alcohol + hepatitis B virus (HBV) in 5% of hospitalizations. Hospitalizations occurred due to Upper gastrointestinal bleeding (UGB) in 33%; hepatic encephalopathy (HE) in 32%; and ascites in 21%. The mean duration of hospitalizations was 11.5 days. Child-Pugh A classification in 2%, Child-Pugh B in 14% and Child- Pugh C in 54% of the cases. The mortality rate in 1 year was 70%, infection causes were responsible in 38% (pulmonary, spontaneous bacterial peritonitis, among others). Of the 19 patients who survived the first hospitalization, 74% returned within 1 year. Conclusion: The main etiology of cirrhosis was alcoholism, followed by HCV infection. The hospitalizations occurred due to UGB, HE and ascites. Re-hospitalization rate was 74% and mortality rate was 70% in 1 year.
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