An audit of hepatobiliary diseases in a tertiary level intensive care unit in Nepal
DOI:
https://doi.org/10.3126/jsan.v4i1.17445Keywords:
Clinical Audit, Intensive care unit, Liver diseases, Mortality, PrevalenceAbstract
BACKGROUND:
Hepatobiliary diseases account for significant proportion of admission in our ICU, which is a semi-closed, 11 bedded mixed medical-surgical ICU.
AIM:
This study was conducted to present profile of patients with various hepatobiliary diseases who required ICU admissions for various reasons.
METHODS:
A retrospective data collection was done from our ICU admission book records on all patients admitted with hepatobiliary problem from 1st Jan 2013 till 31st Dec 2013 for a period of one year.
References
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</ol>
<li>Cholongitas E, Senzolo M, Patch D, Kwong K, Nikolopoulou V, Leandro G, Shaw S, Burroughs AK. Risk factors, sequential organ failure assessment and model for end-stage liver disease scores for predicting short term mortality in cirrhotic patients admitted to intensive care unit. Aliment Pharmacol Ther 2006;23:883-93. <a href="https://doi.org/10.1111/j.1365-2036.2006.02842.x">https://doi.org/10.1111/j.1365-2036.2006.02842.x</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/16573791">[PMid:16573791]</a></li>
<li>McDowell Torres D, Stevens RD, Gurakar A. Acute liver failure: a management challenge for the practicing gastroenterologist. Gastroenterol Hepatol (N Y) 2010;6(7):444-50. <a href="https://www.ncbi.nlm.nih.gov/pubmed/20827368">[PMid:20827368]</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933761/">[PMCid:PMC2933761]</a></li>
<li>Shrestha SM. Liver diseases in Nepal. Kathmandu Univ Med J (KUMJ) 2005;3(2):178-80. <a href="https://www.ncbi.nlm.nih.gov/pubmed/16415618">[PMid:16415618]</a></li>
<li>Cortez-Pinto H, Marques-Vidal P, Monteiro E. Liver disease-related admissions in Portugal: clinical and demographic pattern. Eur J Hepatol 2004;16:873-7. <a href="https://doi.org/10.1097/00042737-200409000-00010">https://doi.org/10.1097/00042737-200409000-00010</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/15316411">[PMid:15316411]</a></li>
<li>Jhingan HP, Shyangwa P, Sharma A, Prasad KM, Khandelwal SK. Prevalence of alcohol dependence in a town in Nepal as assessed by the CAGE questionnaire. Addiction 2003;98:339-43. <a href="https://doi.org/10.1046/j.1360-0443.2003.00301.x">https://doi.org/10.1046/j.1360-0443.2003.00301.x</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/12603233">[PMid:12603233]</a></li>
<li>Manadhar S, Giri S, Poudel P, Bhandari R, Lakhey P, Vaidya P. Acute Biliary Pancreatitis: An Experience in a Tertiary level hospital of Nepal. Indian J Surg 2013;75(6):449-53. <a href="https://doi.org/10.1007/s12262-012-0533-5">https://doi.org/10.1007/s12262-012-0533-5</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/24465101">[PMid:24465101]</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3900759/">[PMCid:PMC3900759]</a></li>
<li>Bohara TP, Parajuli A, Joshi MR. Role of biochemical investigation in prediction of biliary etiology in acute pancreatitis. JNMA J Nepal Med Assoc 2013;52(189):229-32. <a href="https://www.ncbi.nlm.nih.gov/pubmed/23591301">[PMid:23591301]</a></li>
<li>Shellman RG, Fulkerson WJ, DeLong E, Piantadosi CA. Prognosis of patients with cirrhosis and chronic liver disease admitted to the medical intensive care unit. Crit Care Med 1988;16(7):671-8. <a href="https://doi.org/10.1097/00003246-198807000-00005">https://doi.org/10.1097/00003246-198807000-00005</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/3371043">[PMid:3371043]</a></li>
<li>Flood S. Patients with alcoholic liver disease admitted to critical care: A systemic review. Journal of Intensive Care Society 2012;13(2):130-5. <a href="https://doi.org/10.1177/175114371201300210">https://doi.org/10.1177/175114371201300210</a></li>
<li>Pitchumoni CS, Patel NM, Shah P. Factors influencing mortality in acute pancreatitis: can we alter them? J Clin Gastroenterol 2005;39(9):798-814. <a href="https://doi.org/10.1097/01.mcg.0000177257.87939.00">https://doi.org/10.1097/01.mcg.0000177257.87939.00</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/16145344">[PMid:16145344]</a></li>
<li>Jakobson T, Karajagin J, Vipp L, Padar M, Parik AH, Starkopf L. Postoperative complication and mortality after major gastrointestinal surgery. Medicina(Kaunas) 2014:50(2):111-7. <a href="https://doi.org/10.1016/j.medici.2014.06.002">https://doi.org/10.1016/j.medici.2014.06.002</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/25172605">[PMid:25172605]</a></li>
<li>Romero-Gomez M, Montagnese S, Jalan R. Hepatic encephalopathy in patients with acute decompensation of cirrhosis and acute-on-chronic liver failure. J Hepatol 2015;62:437-47. <a href="https://doi.org/10.1016/j.jhep.2014.09.005">https://doi.org/10.1016/j.jhep.2014.09.005</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/25218789">[PMid:25218789]</a></li>
</ol>
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Published
2017-06-28
How to Cite
Shrestha, P. S., Acharya, S. P., Shrestha, G. S., Aryal, D., Udaya, R. K., & Marhatta, M. N. (2017). An audit of hepatobiliary diseases in a tertiary level intensive care unit in Nepal. Journal of Society of Anesthesiologists of Nepal, 4(1), 42-45. https://doi.org/10.3126/jsan.v4i1.17445
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Clinical Audit
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Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
