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The cost of clinical treatment for decompensated cirrhosis at the university hospital center of Libreville


Gastroenterology & Hepatology: Open Access
Patrice Emery Itoudi Bignoumba, Tracy Alilangori, Arthur Mackossot, Ines Flore Maganga Moussavou, Arnaud Georgio Eyi Nguema, Monique Mbounja, Patrick Nzouto, Maryam Saibou, Jean Baptiste Moussavou Kombila

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Abstract

Introduction: The cost of clinical treatment for Decompensated Cirrhosis is unknown in our context while it is fundamental in the therapeutic strategy. The objective of this work was to determine the cost of clinical treatment for Cirrhosis at the University Hospital Center of Libreville.
 
Patients and methods: This is a retrospective study conducted from May 30, 2016 to September 30th 2018 in the hepato-gastroenterology department at Hospital University Center of Libreville. We included Cirrhotic patients who had at least one episode of decompensation during the study period. The data analyzed were socio-demographic, clinical, prognostic and etiological. The cost of treatment combined the costs of accommodation, additional examinations and treatment. Statistical analysis was performed using StaView SAS software version 5.0.
 
Results: Decompensated Cirrhosis accounted for 57.7% of hospitalizations. It affected 167 hospitalized patients on average 3.5. There were 102 men and 65 women. The average age was 50years old. 47.3% were unemployed. 11.5% were students, 24.5% were Officials and 16.7% were engaged in various professional activities. Ascites (62.2%) and digestive hemorrhage (53.9%) were the most common modes of decompensation. According to the Child-Pugh classification, 55.7% of patients were classified C. The average length of hospital stay was 21days. The cost of clinical treatment for Cirrhotic Decompensation therefore varied between 685,000 FCFA (1,047 euros) and 1,039,000 FCFA (1,925.9 euros).
 
Conclusion: Decompensated Cirrhosis is a frequent condition, the leading cause of hospitalization in the hepato-gastroenterology’s department. Its clinical management is expensive and occurs in poor patients.
 

Keywords

decompensated cirrhosis, cost, management, hospital university center of Libreville, cirrhosis, etiology, hepato-gastroenterology, hospitalization, ascites, digestive hemorrhage, jaundice, hepatic encephalopathy, Child-Pugh score, malignant degeneration, hepatorenal syndrome

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