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conferenceseries
.com
Volume 8
J Community Med Health Educ, an open access journal
ISSN: 2161-0711
Public Health 2018
February 26-28, 2018
PUBLIC HEALTH AND NUTRITION
3
rd
World Congress on
February 26-28, 2018 London, UK
IMPACTOFTHEUNDERLYINGCAUSEANDCO-MORBIDCONDITIONSONTHEOUTCOME
OF HEPATIC ENCEPHALOPATHY
Ahmed Hassan Abdelraheem
a
a
Najran University, Saudi Arabia
Background:
Hepatic encephalopathy (HE) is a serious neuropsychiatric complication of acute and chronic liver diseases. This
study aimed at identifying liver diseases and co-morbidity conditions associated with hepatic encephalopathy (HE) and their
impact on patient`s mortality (the outcome).
Methods:
A hospital-based, prospective study enrolled 76 patients admitted with HE conducted at Ibn Sina specialized
gastroenterology hospital, Sudan, from January 2010 to May 2011. Personal data, clinical presentation, underlying liver disease,
precipitants, co-morbid conditions and the outcome of HE were obtained from the inpatients’ hospital records.
Results:
A total of 76 patients were included, 62 males (81.5%) and 14 females (18.5%) aged between 13 and 84 years old.
Hepatitis B virus (HBV) was the most common cause of the liver disease (36.8%), followed by HCV (11.8%). Clinically, 53
patients (69%) had impaired level of consciousness. Infection was the most common risk factor for HE (54%) followed by
electrolyte disturbance (42%). Overall mortality within one to three weeks following the admission was (50%). The higher
percentage of mortality was seen inpatients with late stage autoimmune hepatitis, followed by HCC and in co-morbid
conditions like renal impairment (58.8%).
Conclusion:
HE is associated with a high mortality despite proper management in specialized hospitals. The mortality tends
to increase in the presence of comorbid condition.
Biography
Dr Ahmed Abdelraheem currently works as an Assistant Professor at the Department of Internal Medicine, Najran University. Ahmed does research in Internal
Medicine (General Medicine).
ahmd2666@yahoo.comAhmed Hassan Abdelraheem, J Community Med Health Educ 2018, Vol 8
DOI: 10.4172/2161-0711-C1-032