Liver Cirrhosis
Conditions
Brief summary
1-to identify the prognostic value of serum bicarbonate and serum electrolytes at time of admission and their association with development of complications ,length of hospital stay ,prognosis and mortality in hospitalized cirrhotic patient
Detailed description
the purpose of this study will be explore the impact of data obtained for the arterial blood gas parameters and serum bicarbonate and electrolytes at the time of hospital admission on adverse clinical outcomes ,duration of length of hospital stay and mortality in patients with cirrhosis .Furthermore incorporation these parameters into model of end stage liver disease could help to improve the prognostic value of MELDscore in comparison to the prognostic value of traditional equation of original MELD and child score
Interventions
arterial bloog gases parameters serum potassium serum sodium serum calcium
Sponsors
Study design
Eligibility
Inclusion criteria
patients with confirmed diagnosis of cirrhosis (age \>18 years ) who will be admitted to internal medicine department or will be admitted to intermediate care unit * willing and agree to be included in the study
Exclusion criteria
* patients without evidence of cirrhosis * cirrhotic patients whom -younger than 18 years old * have diabetic ketoacidosis * with acute coronary syndrome * with fulminant liver failure * with heart failure * with organ transplantation * when arterial blood gases not be available * patient refusal * patient with HCC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| will be ICU admitted | from the day of admission to the day of discharge from hospital or death during hospitalization | will be admitted to ICU due to progression of the disease complications as shok,hepatorenal syndrome,severe infection,starting renal replacement therapy and icu intervention as mechanical ventilation using MELD score and child score depending on ABGparameters and serum electrolytes . |
Countries
Egypt