Factors Associated with in-Hospital Mortality in Malagasy Patients with Acute Decompensation of Liver Cirrhosis: A Retrospective Cohort.
Chantelli Iamblaudiot RazafindrazotoNitah Harivony RandriamifidyBehoavy Mahafaly RalaizanakaJean Tsitamita AndrianoelisonHaga Tsilavo RavelomanantsoaMialitiana RakotomaharoDomoina Harivonjy Hasina LaingonirinaSonny MaherisonJolivet Auguste RakotomalalaAnjaramalala Sitraka RasolonjatovoAndry Lalaina Rinà RakotozafindrabeTovo Harimanana RabenjanaharySoloniaina Hélio RazafimahefaRado Manitrala RamanampamonjyPublished in: Hepatic medicine : evidence and research (2023)
The in-hospital mortality rate during acute decompensation of cirrhosis remains high in Madagascar. Hepatic encephalopathy, renal failure, GI bleeding and hyponatraemia are the main clinico-biological factors affecting in-hospital mortality. Early intervention on these modifiable factors is an important step to improve hospital outcomes. The natraemia, MELD score and MELD-Na score should be used in routine practice in Madagascar to identify patients with acute decompensation of cirrhosis at high risk of death.