Cahiers Santé Médecine Thérapeutique


Causes of in-hospital mortality in cirrhotic patients Volume 31, issue 5-6, Septembre-Décembre 2022


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Service d’hépato-gastro-entérologie, université Sidi Mohamed Ben Abdellah, CHU Hassan II, Fès, Maroc
* Tirés à part : A. Mernissi

Objective: analyze the causes of hospital mortality in a sample of cirrhotic patients. Study design: retrospective study. Patients and methods: Analyze the files of cirrhotic patients who died during their hospitalization in the gastroenterology department during the period from January 2017 to July 2019. Results: 125 records of cirrhotic patients hospitalized during the analysis period. Twelve deaths were recorded for a hospital mortality rate of 9.6%. The causes of death were in descending order: Digestive hemorrhage, severe sepsis on ascites fluid infection, hepatic encephalopathy, fulminant hepatocellular insufficiency, and pulmonary embolism. The cause of death was not known in 25% of cases. Conclusion: Our study suggests that patients arrive at the hospital at a complicated stage of the disease, with the main causes of death being gastrointestinal bleeding and ascites fluid infection, which underlines the importance of early management. these deadly complications.