Acute Decompensation in Liver Cirrhosis
Conditions
Brief summary
This a prospective observational study in Chronic Liver Disease patients admitted or seen in OPD, Department of Hepatology, Institute of Liver and Biliary Sciences, India. The study will be conducted in a period of three months starting September 2016 in sample size of 80 . A detailed proforma including history and examination and routine blood investigations will be noted. The patients will undergo close follow up at 0, 7, 15, 30, 45, 60, 90 days and similar activities will be repeated at every visit.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Cirrhosis with decompensation in a period of 3 months in form of ascites, jaundice, Hepatic Encephalopathy, Acute Variceal bleed irrespective of prior decompensation. 2. Age 18-70 years 3. Valid consent
Exclusion criteria
1. HepatoCellular Carcinoma 2. Admitted and survival less than 48 hrs 3. Pregnant 4. Acute Liver Failure 5. Post transplant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spontaneous recovery or liver transplant or death in both groups | 90 days |
Secondary
| Measure | Time frame |
|---|---|
| Severity and duration of prior as well as present decompensation | 3 months |
| Improvement in severity assessment Indices Model for End Stage Liver Disease in both groups. | 3 months |
| Causes of death in both groups | 3 months |
| Profile of patient undergone transplant in both groups | 3 months |
| Sepsis in both groups | 3 months |
| Cause of acute decompensation | 3 months |
| Improvement in severity assessment Indices Child Pugh Turcotte in both groups. | 3 months |
| Improvement in severity assessment Indices Sequential Organ Failure Assessment in both groups | 3 months |
| Improvement in severity assessment Indices Acute Physiology and Chronic Health Evaluation II in both groups | 3 months |
| Improvement in severity assessment Indices CLIF score in both groups | 3 months |
| Systemic Inflammatory Response Syndrome in both groups | 3 months |
Countries
India