DOI: 10.36347/sasjm.2022.v08i02.002

Pages: 58-66

Objective: The study was carried out to produce the short-term prognosis of decompensated Liver Disease through the Child-Pugh scoring system and as the complications of cirrhosis and to find out the eligible Percentage of patients for liver transplantation suffering from advanced liver disease. Methodology: This cross-sectional prospective shady was conducted in two best institutes of Bangladesh (DMCH and RSMMU) from January to June 2010. The target population for this study was patients with chronic liver disease in the decompensated state. The patient was selected by meticulous history and clinical examination, including stigmata of chronic liver disease and decompensation, especially ascites, edema, hematemesis melaena, and hepatic encephalopathy. The ultrasonography evidence of coarse echogenicity and Albumin: Globulin ratio alteration was recorded as chronic liver disease evidence. Investigation such as serum bilirubin serum albumin, prothrombin time, ultrasonography of the whole abdomen, the viral market was done in all cases. If the patients are compensated states or decompensated signs explained by any other illness were excluded from the enrollment, 50 patients were randomly selected, and the child Pugh scoring was done within 24 hours of hospitalization. The study physician followed the patients daily up to discharge or death, whichever comes first. Result: In this study, the maximum age incidence among the decompensated CLD patients was between 46-55 years (36%), and the male-female ratio was 4.55:1. Among 50 patients, 64% of patients fall in the Child-Pugh class C group, 28% fall in the class B group, and only 8% fall in the class A group. In the first three months of the study period, death occurred in 37.5% in class C₂ 14.28% in class B and 0% in class A. Overall, death occurred in 14 patients out of 50 patients (28%). In total, 46 patients out of 50 have Esophageal varix. The most frequent presenting symptoms in different Child-Pugh classes are .....