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
Omar Ayoub
The electrophysiological analysis of carpal tunnel syndrome in a single center from Saudi Arabia
Glo. Adv. Res. J. Med. Med. Sci. February 2017 Vol: 6(2): - [Abstract] [Full Text - PDF] (89 KB)
Ahmad Abdulazeem Abdullah, Mohammed Elnibras Mohammed, Omer Saad El-Zahrani, Mostafa Abdulrahman Mahmoud and Ibrahim Abdullah Albalawi
Clinicopathological Pattern of Colorectal Cancer in Tabuk Region, Saudi Arabia
Glo. Adv. Res. J. Med. Med. Sci. October 2016 Vol: 5(10): - [Abstract] [Full Text - PDF] (221 KB)
Ayşegül Mavi Yıldız, Dilek Güven, Ali Atakhan Yıldız, Selam Yekta Şendül, Saniye Üke Uzun and Rumeysa Selvinaz Erol
Does Vitamin D Level Effect the Response to Intravitreal Ranibizumab Therapy for Diabetic Macular Edema ?
Glo. Adv. Res. J. Med. Med. Sci. March 2015 Vol: 4(3): - [Abstract] [Full Text - PDF] (341 KB)
Misganaw Birhaneselassie and Abera Alemneh
The relationship between dyspepsia and H. pylori infection in Southern Ethiopia
Glo. Adv. Res. J. Med. Med. Sci. May 2017 Vol: 6(5): - [Abstract] [Full Text - PDF] (109 KB)
Fernanda Dultra Dias, Eloisa Sanches Pereira do Nascimento, Karina Maria Cancelliero-Gaiad, Evelim Leal de Freitas Dantas Gomes, Roberto Stirbulov and Dirceu Costa
Association between peripheral oxygen saturation during the shuttle walk test and quality of life in patients with chronic pulmonary obstructive disease
Glo. Adv. Res. J. Med. Med. Sci. August 2014 Vol: 3(8): - [Abstract] [Full Text - PDF] (181 KB)
Omar Ayoub
The number of seizure episodes in patients presenting with refractory status epilepticus. Causes and modes of management
Glo. Adv. Res. J. Med. Med. Sci. February 2017 Vol: 6(2): - [Abstract] [Full Text - PDF] (80 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 954
Printed 294
Downloaded 589
Powered By iPortal Works