Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis

Aim of investigation. Studying of liver cirrhosis (LC) prevalence in Tajikistan, survival rates, lifetimes and principal causes of death of patients, and evaluation of prognostic value of manifestations and complications of LC.Material and methods. 1374 patients of the LC were investigated. Main eti...

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Main Authors: G. K. Mirodzhov, S. A. Avezov, N. S. Tukhtayeva, A. Bakhtibekov, M. M. Giyasov
Format: Article
Language:Russian
Published: Gastro LLC 2010-11-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1563
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author G. K. Mirodzhov
S. A. Avezov
N. S. Tukhtayeva
A. Bakhtibekov
M. M. Giyasov
author_facet G. K. Mirodzhov
S. A. Avezov
N. S. Tukhtayeva
A. Bakhtibekov
M. M. Giyasov
author_sort G. K. Mirodzhov
collection DOAJ
description Aim of investigation. Studying of liver cirrhosis (LC) prevalence in Tajikistan, survival rates, lifetimes and principal causes of death of patients, and evaluation of prognostic value of manifestations and complications of LC.Material and methods. 1374 patients of the LC were investigated. Main etiological factors of development of disease were: hepatitis virus B, hepatitis virus C, alcohol. Results. The incidence of viral LC in Tajikistan does not differ from that in Russia and some western countries and makes 2,32 per 10 000 of adult populations. Alcohol-induced LC and primary biliary cirrhosis are over 10 and 5 times less frequent respectively. Lifetime and 3-year survival rate of patients depend on a phase of cirrhotic process compensation. The highest 3-years survival rate of patients from the moment of establishment of the diagnosis was 79% at class A LC vs 28% at class C LC. At 89% of patients the cause of death has been directly related to complications of cirrhosis. Hepatic encephalopathy and bleeding serve as certain criteria of survival rate prognosis of LC patients. Hepatorenal syndrome, bacterial peritonitis and portal vein thrombosis are independent risk factors of lethal outcomes.Conclusions. Prognosis of survival is most unfavorable at hepatic encephalopathy in comparison to other complications of the LC. Presence more than one complication increases probability of death of patients more than 2,5 times. The relative risk of death is higher at patients with class B and C in comparison to class A.
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spelling doaj-art-2ccc06cf63fa42bf97f9ad71f5234cd02025-02-10T16:14:30ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732010-11-0120527321067Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosisG. K. MirodzhovS. A. AvezovN. S. TukhtayevaA. BakhtibekovM. M. GiyasovAim of investigation. Studying of liver cirrhosis (LC) prevalence in Tajikistan, survival rates, lifetimes and principal causes of death of patients, and evaluation of prognostic value of manifestations and complications of LC.Material and methods. 1374 patients of the LC were investigated. Main etiological factors of development of disease were: hepatitis virus B, hepatitis virus C, alcohol. Results. The incidence of viral LC in Tajikistan does not differ from that in Russia and some western countries and makes 2,32 per 10 000 of adult populations. Alcohol-induced LC and primary biliary cirrhosis are over 10 and 5 times less frequent respectively. Lifetime and 3-year survival rate of patients depend on a phase of cirrhotic process compensation. The highest 3-years survival rate of patients from the moment of establishment of the diagnosis was 79% at class A LC vs 28% at class C LC. At 89% of patients the cause of death has been directly related to complications of cirrhosis. Hepatic encephalopathy and bleeding serve as certain criteria of survival rate prognosis of LC patients. Hepatorenal syndrome, bacterial peritonitis and portal vein thrombosis are independent risk factors of lethal outcomes.Conclusions. Prognosis of survival is most unfavorable at hepatic encephalopathy in comparison to other complications of the LC. Presence more than one complication increases probability of death of patients more than 2,5 times. The relative risk of death is higher at patients with class B and C in comparison to class A.https://www.gastro-j.ru/jour/article/view/1563liver cirrhosisprevalencesurvival ratehepatic encephalopathyvaricose bleeding
spellingShingle G. K. Mirodzhov
S. A. Avezov
N. S. Tukhtayeva
A. Bakhtibekov
M. M. Giyasov
Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
liver cirrhosis
prevalence
survival rate
hepatic encephalopathy
varicose bleeding
title Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
title_full Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
title_fullStr Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
title_full_unstemmed Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
title_short Lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
title_sort lifetime of patients and prognostic value of manifestations and complications of liver cirrhosis
topic liver cirrhosis
prevalence
survival rate
hepatic encephalopathy
varicose bleeding
url https://www.gastro-j.ru/jour/article/view/1563
work_keys_str_mv AT gkmirodzhov lifetimeofpatientsandprognosticvalueofmanifestationsandcomplicationsoflivercirrhosis
AT saavezov lifetimeofpatientsandprognosticvalueofmanifestationsandcomplicationsoflivercirrhosis
AT nstukhtayeva lifetimeofpatientsandprognosticvalueofmanifestationsandcomplicationsoflivercirrhosis
AT abakhtibekov lifetimeofpatientsandprognosticvalueofmanifestationsandcomplicationsoflivercirrhosis
AT mmgiyasov lifetimeofpatientsandprognosticvalueofmanifestationsandcomplicationsoflivercirrhosis