Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
November 2015 Vol. 4(11), pp. 461-466
Copyright © 2015 Global Advanced Research Journals

 

Full Length Research Paper

Quality of care provided to cirrhotic patients in Tanta university hospital in Egypt

Prof. Ghada Alghazaly, Prof. Medhat Ghazy and Prof. Khaled Zaglool

Tanta university hospital, Egypt.

*Corresponding Author E-mail: dodoya288@yahoo.com

Accepted 26 October 2015

Abstract

Cirrhosis is a major cause of digestive disease–related morbidity and mortality. Evidence-based guidelines define the criteria and standards of care for patients with cirrhosis. This study aims to assess the quality of medical care provided to patients with liver cirrhosis in Tanta university hospitals in order to improve the outcomes and delay the occurrence of complications to patients admitted in internal medicine department tanta university hospital. This study included 400 cirrhotic patients evaluated at Internal Medicine Department, Tanta University Hospital during the period from January 2014 to December 2014. A specific questionnaire was used to evaluate the quality of care provided to cirrhotic patients by using evidence-based quality indicators (QIs), measuring care for ascites, variceal bleeding, hepatic encephalopathy, hepatocellular cancer and preventive care in patients with liver cirrhosis.  Quality scores (maximum 100%) varied among individual indicators. There were 69.9%of patients with ascites and normal renal functions received diuretics while 52% received diagnostic paracentesis during hospitalization. Of patients admitted with gastrointestinal bleeding 85.1% received prophylactic antibiotic during hospitalization: 6.7% of patients had upper GIT endoscopy as primary variceal screening while 93.3% had upper endoscopy as secondary prophylaxis. 78.5% of patients with HCC received the recommended screening and 62.5% of patients received the recommended management. 100% of patients with HE received the recommended care. Variceal bleeding is the major presenting complication in patients with liver cirrhosis. Secondary prophylactic endoscopic therapy that dellay bleeding and follow up sclerotherapy was done in 93.3% of cases. On the other hand fairly low standard care with primary prophylaxix 6.7% for varieces. As regarding the patients with hepatic encephalopathy the care was standard 100%. As regarding patients with HCC 78.5% of cases received the indicated screening and 62.5% of patients with HCC received the recommended treatment.

Keywords: Care Quality cirrhotic patients Tanta university hospital

 

Related Articles


Original Research Articles
Shazaly Khojaly, Mohamed Yousef, Mohammed Garelnabi, Mogahid M.A Zidan, Auis Bashir, Mahmoud S Babiker, Eltag M.I. Madwi and Abbas Khalid Abbas Ibrahim
Assessment of Endemic Goitre of Children in Eastern Sudan (Red Sea State) Using Ultrasonography and ELISA
Glo. Adv. Res. J. Med. Med. Sci. January 2018 Vol: 7(1): - [Abstract] [Full Text - PDF] (131 KB)
John N Kateregga, Collins Atuheire, Justine Nalunga and James G Ndukui
Effect of antiretroviral drugs on the renal function of HIV seropositive patients attending ISS clinic of Mulago Hospital, Uganda
Glo. Adv. Res. J. Med. Med. Sci. September 2018 Vol: 7(7): - [Abstract] [Full Text - PDF] (11 KB)
Nada N. Nawar MD, Mona MA. Haleim MD, Rasha H. El Shereif MD, Amira FA. Hussein
Prevalence of Clostridium difficile among cases of antibiotics associated diarrhea in hospitalized patients in an Egyptian hospital
Glo. Adv. Res. J. Med. Med. Sci. July 2014 Vol: 3(6): - [Abstract] [Full Text - PDF] (371 KB)
Akeem Agboke and Ekanem Etim
Comparative analysis of antibacterial potency of six fluoroquinolone antibiotics commonly prescribed in Uyo, Akwa Ibom State, Nigeria in the treatment of Salmonela typhi infections
Glo. Adv. Res. J. Med. Med. Sci. May 2018 Vol: 7(5): - [Abstract] [Full Text - PDF] (128 KB)
Naksheen Merza Mahmood, Nadia Farid Ramadan, Shadia Mohamed Hassan, HodaYaaqob Sabry and Mona Mohamed Magdy
Therapeutic effect of Phoenix dactylifera against cryptosporidiosis in immunocompromised mice
Glo. Adv. Res. J. Med. Med. Sci. March 2016 Vol: 5(3): - [Abstract] [Full Text - PDF] (3,707 KB)
Irshad M, Asif Iqbal, Ansari MA and Raghavendra L
Relation of insulin resistance (IR) with viral etiology and blood level of cytokines in patients with liver diseases
Glo. Adv. Res. J. Med. Med. Sci. March 2013 Vol: 2(3): - [Abstract] [Full Text - PDF] (280 KB)

Current Issue

Viewing Options

View Full Article - PDF
Download Full Article - PDF

Search for Articles

Ghada Alghazaly on Google Scholar
Ghada Alghazaly on Pubmed
Medhat Ghazy on Google Scholar
Medhat Ghazy on Pubmed
Khaled Zaglool on Google Scholar
Khaled Zaglool on Pubmed

Statistics

Viewed 1632
Printed 766
Downloaded 759
Powered By iPortal Works