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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-05
A Study of Patients of Alcoholic Liver Disease with Special Reference to Different Scoring Systems for Prognostication
V.B.Chavan, G.G.Harshe
Published: May 28, 2016 |
164
98
DOI: 10.36347/sjams.2016.v04i05.012
Pages: 1506-1509
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Abstract
The aim was to study the clinical profile of patients having alcoholic liver disease (ALD) and prognosticating
these with special reference to 5 different scoring systems (Child-Pugh score, ABIC, GAHS, MELD and MDF). The
study population included total 100 patients proven to have ALD on the basis of clinical, biochemical and
ultrasonographic parameters. Different scoring systems were used to predict disease severity and mortality risk in
patients with ALD. In the present study all the cases were males. Out of the 100 patients majority of the patients were in
the age group of 30–39yrs (34%), (88%) consumed 180ml of alcohol per day and (53%) consumed alcohol for a period
of 11-20yrs. Nausea and vomiting (89%) was an important symptom, Jaundice was an important finding in alcoholics
seen in 88%. Out of 100 cases 3 cases (3%) had normal liver function tests, whereas remaining 97 had one or other
abnormal liver function tests. Sensitivity and specificity is maximum corresponding to MELD test. So we conclude that
test MELD is best among the all.