Clinical and biochemical factors predictors of survival at year in patients diagnosed with liver cirrhosis
Abstract
Introduction: liver cirrhosis is a serious disease with high morbidity and mortality. Survival of patients with compensated disease is relatively long.
Objective: to establish the association of some clinical and biochemical variables as predictors of survival at year of evolution in adults diagnosed with liver cirrhosis.
Method: a prospective longitudinal observational study was carried out in the Hepatology Consultation of the Provincial General Teaching Hospital "Dr. Antonio Luaces Iraola" of Ciego de Ávila, from July 2013 to June 2014. It worked with the whole universe because all patients met the inclusion criteria.
Results: patients were predominantly male (73,1 %), of the age group between 61 and 70 years. The presentation forms of the disease most frequent were ascites and gastrointestinal bleeding. The most common causes were alcoholism, cryptogenic and hepatitis C. The predominant complications (verified endoscopicly) were presence of esophageal varices and ascites. In the beginning of the study more than the half of cirrhotic patients were in stadium A of Child Pugh, that it was the one of bigger survival at year; the survival of patients was in directly proportional relation to the increase of the stadium.
Conclusion: none of the complications were predictors of survival at year of evaluated the patients, although they were albumin, creatinine and serum sodium as biochemical variables. It is recommended to carried out studies with larger samples to analyze survival in cirrhotic patients.