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Volume 23 |
October - December 2007 (Part-I) |
Number 5 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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Volume 23 |
October - December 2007 (Part-I) |
Number 5 |
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Liver diseases: Admissions and mortality in a
medical ICU at a rural centre in PakistanSyed Zafar Abbas1, Syeda Aasia Batool2, Iqbal Pathan3,
Syed Razi Muhammad4, Syed Qamar Abbas5ABSTRACT
Objectives: To study the frequency of admissions, complications and death rates in patients with chronic liver disease (CLD) in a rural medical Intensive Care Unit (ICU).
Methodology: Retrospective analysis of 174 consecutive admissions.
Results: Out of 174 consecutive admissions, 69 patients (40%) had background liver disease. However, 55 patients out of this total (32%) were admitted directly in ICU because of the features of complications of their liver disease. Twenty six out of fifty five (47%) died. Thirteen out of twenty six had signs of encephalopathy. Seven out of fifty five had more than one complications of liver disease–only one of them survived.
Hepatitis C was the cause of liver-related deaths in 18/26 (69%).
Conclusion: CLD is the commonest cause of admissions (32%) in medical ICU – Hepatitis C being responsible for 69%. Liver disease and its complications were also the commonest cause of all deaths in medical ICU, of which Hepatitis C contributed 69%. Encephalopathy was the most common manifested complication of cirrhosis, causing highest mortality.
KEYWORDS:
Cirrhosis, ICU, Complication, Mortality.Pak J Med Sci October - December 2007 (Part-I) Vol. 23 No. 5 713-716
1. Syed Zafar Abbas FRCP, FEBG
Consultant Gastroenterologist
2. Syeda Aasia Batool MBBS
House Physician
3. Iqbal Pathan Dip Am Board
Consultant Paediatrician
4. Syed Razi Muhammad FRCS
Consultant Surgeon
1-4: Departments of I.C.U. & Gastroenterology,
Muhammad Medical College Hospital, Hyderabad Road,
Mirpurkhas – Pakistan.
5. Syed Qamar Abbas MA, MBBS
Associate Specialist, Palliative Care Medicine
St. Clare Hospice, Hastingwood, Essex, UK
Correspondence
Dr. Syed Zafar Abbas,
E-mail:
drzafarabbas_pk@yahoo.co.uk
* Received for publication: April 13, 2007
* Revision Received: June 27, 2007
* Revision Accepted: July 3, 2007
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