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

 

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