MORTALITY AMONG PATIENTS WITH ACUTE ON TOP OF CHRONIC LIVER FAILURE IN ZAGAZIG UNIVERSITY HOSPIATALS | ||||
| Zagazig University Medical Journal | ||||
| Article 3, Volume 24, Issue 7, December 2018, Page 27-34 PDF (140.91 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2018.31548 | ||||
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| Abstract | ||||
| Introduction: ACLF is acute deterioration of preexisting chronic liver disease usually related to a precipitating event characterized by the presence of organ failure and a very high risk of short-term mortality. We focused in this study on mortality outcome among ACLF patients which is more devastating than patients with mere acute decompensation. Several definitions have been developed by expert groups all over the world for better characterization of this group of patients; however there is no consensus on one definition. Aim of the study: to identify the characteristics of patients with ACLF and their mortality in Zagazig university hospitals. Patients and methods: we followed patients admitted to hepatology intensive care unit with acute hepatic decompensation, we included 30 patients of them as ACLF and they were managed with tight monitoring and close follow up till either discharge or death. Results: The present study proved that there was high mortality rate among ACLF patients in our study (19 out of 30 patients). Conclusion: ACLF carries a high mortality rate in comparison with patient’s admitted with acute decompensation. | ||||
| Keywords | ||||
| ACLF; mortality; SOFA score; organ failure; acute decompensation | ||||
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