Prognostic Factors for Cirrhosis Hospital in Abidjan (C&amp;#244;te d’Ivoire)

Bathaix, Mamert Fulgence Yao; Bagny, Akelesso; Mahassadi, Alassan Kouamé; Okoń, A; Kissi-Anzouan, Ya Henriette; Doffou, Stanislas; Bangoura, Aboubacar Demba; Kouamé, Hatrydt Dimitri; Diallo, Kadiatou; Ndam, Antonin Wilson Ndjitoyap; De, A; Attia, Koffi Alain; Yoman, Aya Thérèse N’dri

doi:10.4236/ojgas.2015.57017

Cited by 4 publications

(9 citation statements)

References 14 publications

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“…Viral hepatitis is the most common cause of cirrhosis in our study with a predominance of hepatitis B. These results are similar to those of Sehonou in Benin [14] and Yao Bathaix in Côte d'Ivoire [7] who recovered hepatitis B respectively in 30.8% and 76.04% of cases.…”

Section: Discussionsupporting

confidence: 90%

“…This is close to the results of Bossali in Pointe-Noire in Congo [5]. However, in the studies of Yao Bataix and Karoui [7] [12], the stage at diagnosis is relatively less advanced, mainly stage B of Child Pugh.…”

Section: Discussionsupporting

confidence: 86%

“…In our work there is a high frequency of esophageal varices stage III, which corroborates the work of Diarra in Mali [10] and Moulion Tapouh in Cameroon [13] with respective frequencies of 67.23% and 82.4% of cases. On the other hand Yao Bathaix et al [7] found a predominance for oesophageal varices stage II (51.32%). All of these studies confirm the advanced stage of diagnosis in African countries.…”

Section: Discussionmentioning

confidence: 93%

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Evolutionary and Pronostic Aspects of Cirrhosis at the University Hospital of Brazzaville (Congo)

Mimiesse¹,

Ngalessami²,

Clausina³

et al. 2020

OJGas

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Introduction: cirrhosis is a serious pathology that leads to complications whose management remains difficult in our country. This study aimed to evaluate the evolutionary aspects of cirrhosis at the Brazzaville University Hospital. Patients and methods: this was a retrospective study over a period of 18 months (from January 2015 to July 2016), performed in the Gastroenterology Department of the Brazzaville University Hospital. All patients regularly followed for decompensated cirrhosis were included. The studied variables were the epidemiological, clinical and paraclinical characteristics, the occurrence of complications, the survival, and the causes of death. Univariate analysis was used to determine prognostic factors based on the Child Pugh score. Results: There were 43 patients, including 32 men and 11 women, with a mean age of 52 ± 9.5 years. Viral hepatitis B was the most common etiology (39.5%). Child Pugh stage C was found in 60.5%. Oesophageal varices were present in 93% of cases. Survival at 18 months was 72%. In univariate analysis, two variables were significantly associated with decreased survival, including Child Pugh stage C and esophageal varices (grade II and III). Conclusion: cirrhosis remains a worrying pathology because the diagnosis is often made at the stage of often serious complications putting at risk of vital prognosis.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 93%

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Evolutionary and Pronostic Aspects of Cirrhosis at the University Hospital of Brazzaville (Congo)

Mimiesse¹,

Ngalessami²,

Clausina³

et al. 2020

OJGas

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“…In our study, there were 153 patients, in which the number of male patients was double that of female patients (66.7%; 33.3%). This finding is consistent with the previous studies in Vietnam [19,20] and others worldwide [21][22][23][24]. Thus, the male predominance is apparent, especially in developing countries.…”

Section: General Patient Characteristicssupporting

confidence: 93%

Correlation between the Lymphocyte-To-Monocyte Ratio (LMR) and Child–Pugh and MELD/MELDNa Scores in Vietnamese Patients with Liver Cirrhosis

Nguyen

Kha

Thai

et al. 2022

Gastroenterology Insights

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Objectives: This study aims to determine cirrhotic patients’ clinical and laboratory characteristics, thereby examining the correlation between lymphocyte-to-monocyte ratio and Child–Pugh and MELD/MELDNa scores. Methods: A cross-sectional study with an analysis of 153 patients admitted to the Department of Gastroenterology–Clinical Hematology at Can Tho Central General Hospital. Data were collected via patient interviews and medical records. Results: The included patients were more likely to be male (66.7%) and were ≥60 years old (51.6%). Excessive alcohol consumption and hepatitis B were the dominant causes of cirrhosis (35.3% and 34.0%). The clinical and laboratory characteristics were similar to previous studies in cirrhotic patients. The mean Child score was 9.3 ± 2.1, including 9.8% of patients with Child A, 44.4% for Child B, and 45.8% for Child C. The mean MELD and MELDNa scores were 16.9 ± 7.1 and 19.4 ± 8.1, respectively. The mean lymphocyte-to-monocyte ratio (LMR) is 2.0 ± 2.2 (from 0.09 to 25.3), being negatively correlated with the other scores (Pearson correlation coefficients were −0.238; −0.211 and −0.245, respectively, all p-values < 0.01). Patients with LMR below 3.31 were more likely to be classified as Child–Pugh B and C. Conclusion: The correlation between LMR with Child–Pugh, MELD, and MELDNa scores was weak and negative.

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“…SBP was associated with female gender, leukocytosis and cloudy appearance of ascetic fluid [24]. Bathaix et al, in a series of 221 patients, in Ivory Coast, identified SBP as prognosis factor in univariate [17].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Bacterial Peritonitis and Short-Term Prognosis in a Group of Decompensated Cirrhotic Patients in Yaounde: A Cross-Sectional Study

Kowo¹,

Njonnou²,

Noubissi³

et al. 2020

OJGas

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Introduction: Spontaneous bacterial peritonitis (SBP) is among the most common infections in cirrhotic patients. Data on SBP are rare in Cameroon. This prompted us to carry out this study on patients with decompensated cirrhosis of the liver in Yaounde University Hospital Centre (YUHC). Methods: We carried out a cross-sectional study from December 2015 to June 2016 in three units of YUHC. All patients with decompensated liver cirrhosis were included. Our sampling was consecutive. Diagnosis of cirrhosis was performed, based on clinical, biological and ultrasound criteria. A neutrophil count greater than 250 cell/mm 3 in ascites fluid defined an SBP. Data on socio-demography, clinical presentation, and outcomes were collected. Results: We included 34 decompensated cirrhotic patients (15 males). Patients mean age was 57.5 ± 2 years (SBP positive: 48.7 ± 21.3 versus without SBP: 59.8 ± 19.5, p = 0.22). SBP diagnosis was made in 6 (17.7%) patients. Compared to patients with decompensated liver cirrhosis and without SBP, positive SBP patients had a higher pulse rate (p = 0.002) and respiratory rate (p = 0.02).

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Prognostic Factors for Cirrhosis Hospital in Abidjan (Côte d’Ivoire)

Cited by 4 publications

References 14 publications

Evolutionary and Pronostic Aspects of Cirrhosis at the University Hospital of Brazzaville (Congo)

Evolutionary and Pronostic Aspects of Cirrhosis at the University Hospital of Brazzaville (Congo)

Correlation between the Lymphocyte-To-Monocyte Ratio (LMR) and Child–Pugh and MELD/MELDNa Scores in Vietnamese Patients with Liver Cirrhosis

Spontaneous Bacterial Peritonitis and Short-Term Prognosis in a Group of Decompensated Cirrhotic Patients in Yaounde: A Cross-Sectional Study

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