PRECIPITATING FACTORS AND PROGNOSIS IN PATIENTS PRESENTING WITH HEPATIC ENCEPHALOPATHY IN DIAGNOSED CASES OF CIRRHOSIS OF LIVER PRESENTING TO GANDHI HOSPITAL

Dr. K.B.R. SASTRY; Dr. SUNIL KUMAR; Dr. P. ANURADHA; Dr. P. PRIYADARSHINI

Volume : VI, Issue : XI, November - 2016

PRECIPITATING FACTORS AND PROGNOSIS IN PATIENTS PRESENTING WITH HEPATIC ENCEPHALOPATHY IN DIAGNOSED CASES OF CIRRHOSIS OF LIVER PRESENTING TO GANDHI HOSPITAL

Dr. K. B. R. Sastry, Dr. Sunil Kumar, Dr. P. Anuradha, Dr. P. Priyadarshini

Abstract :

OBJECTIVE: To identify the common precipitating factors of hepatic encephalopathy and assessing the prognosis in them. METHODS: This was a hospital based descriptive and prospective study done over 100 patients. RESULTS: Out of 100 patients 96% were males, 92% were more than 40 years of age. Most common clinical presentation was ascites (70%). Most common precipitating factor was GI bleed (62%). Other important precipitating factors are constipation (40%), diarrhea (34%), hyponatremia (26%), infection (20%) and azotemia (20%). 18% patients had one precipitating factor for hepatic encephalopathy, 42% patients had two precipitating factors and 34% patients had more than two precipitating factors. 64% of patients were classified in class C of Child– Pugh classification. 36% of patients were in grade 2 and 32% of patient were in grade 3 of hepatic encephalopathy. CONCLUSION: The common precipitating factors for hepatic encephalopathy are upper GI bleed, constipation, electrolyte imbalance, diarrhea and infections.