A Latin American survey on demographic aspects of hospitalized, decompensated cirrhotic patients and the resources for their management

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dc.contributor.authorVorobioff, Julio D.
dc.contributor.authorContreras, Fernando
dc.contributor.authorTanno, Federico
dc.contributor.authorHernandez, Lucia
dc.contributor.authorBessone, Fernando
dc.contributor.authorColombato, Luis
dc.contributor.authorAdi, Jose
dc.contributor.authorFassio, Eduardo
dc.contributor.authorFelgueres, Mirta
dc.contributor.authorFernandez, Guillermo
dc.contributor.authorGaite, Luis
dc.contributor.authorGibelli, Diana
dc.contributor.authorGomez Darrichon, Hernan
dc.contributor.authorLafage, Matias
dc.contributor.authorLombardo, Daniel
dc.contributor.authorLopez, Susana
dc.contributor.authorMateo, Alejandro
dc.contributor.authorMendizabal, Manuel
dc.contributor.authorPecoraro, Julieta
dc.contributor.authorRuf, Andres
dc.contributor.authorRuiz, Pablo
dc.contributor.authorSeverini, Javier
dc.contributor.authorStieben, Teodoro
dc.contributor.authorSixto, Marcela
dc.contributor.authorZarate, Fabian
dc.contributor.authorde la Barra Barraza, Sergio
dc.contributor.authorDonoso Sierra, Irene
dc.contributor.authorRivas Pacheco, Violeta
dc.contributor.authorRoblero, Juan P.
dc.contributor.authorRojas, Juan O.
dc.contributor.authorRuiz Gonzalez, Patricio
dc.contributor.authorSan Martin Rodriguez, Diego
dc.contributor.authorSierralta, Armando
dc.contributor.authorUrzua Manchego, Alvaro
dc.contributor.authorValdes, Eliana
dc.contributor.authorYaquich, Pamela
dc.contributor.authorWolff, Rodrigo
dc.contributor.authorBeltran Valdivia, Flor
dc.contributor.authorGallegos, Roxana C.
dc.contributor.authorGalloso, Rocio
dc.contributor.authorMarcelo, Julio S.
dc.contributor.authorMontes, Pedro
dc.contributor.authorTenorio, Laura
dc.contributor.authorVeramendi, Isabel
dc.contributor.authorAlava, Elizabeth
dc.contributor.authorArmijos, Ximena
dc.contributor.authorBenalcazar, Gonzalo
dc.contributor.authorCarrera, Enrique
dc.contributor.authorPazmino, Galo F.
dc.contributor.authorMarriott Diaz, Eduardo
dc.contributor.authorGarassini, Miguel
dc.contributor.authorMarrero, Rosalia P.
dc.contributor.authorInfante, Mirta
dc.contributor.authorPaez Suarez, Dayron
dc.contributor.authorGutierrez, Jose C.
dc.contributor.authorVilladoniga Reyes, Carmen M.
dc.contributor.authorSerrano, Yoel M.
dc.contributor.authorHernandez Hernandez, Rivardo
dc.contributor.authorMartinez Martinez, Orelvis
dc.contributor.authorPerez Gonzalez, Teresita
dc.contributor.authorAndara, Maria T.
dc.contributor.authorSanchez Hernandez, Marco
dc.contributor.authorGerona, Solange
dc.contributor.authorGarcia, Ivan
dc.contributor.authorde la Tijera, Fatima
dc.contributor.authorPessoa Lopez, Edmundo
dc.contributor.authorTorres, Kenia
dc.contributor.authorGarzon, Martin
dc.date.accessioned2025-01-23T19:48:40Z
dc.date.available2025-01-23T19:48:40Z
dc.date.issued2020
dc.description.abstractIntroduction & objectives: Liver cirrhosis is a major cause of mortality worldwide. Adequate diagnosis and treatment of decompensating events requires of both medical skills and updated technical resources. The objectives of this study were to search the demographic profile of hospitalized cirrhotic patients in a group of Latin American hospitals and the availability of expertise/facilities for the diagnosis and therapy of decompensation episodes.
dc.description.abstractMethods: A cross sectional, multicenter survey of hospitalized cirrhotic patients.
dc.description.abstractResults: 377 patients, (62% males; 53 +/- 11 years) (BMI > 25, 57%; diabetes 32%) were hospitalized at 65 centers (63 urbans; 57 academically affiliated) in 13 countries on the survey date. Main admission causes were ascites, gastrointestinal bleeding, hepatic encephalopathy and spontaneous bacterial peritonitis/other infections. Most prevalent etiologies were alcohol -related (AR) (40%); non-alcoholicsteatohepatitis (NASH) (23%), hepatitis C virus infection (HCV) (7%) and autoimmune hepatitis (AIH) (6%). The most frequent concurrent etiologies were AR + NASH. Expertise and resources in every analyzed issue were highly available among participating centers, mostly accomplishing valid guidelines. However, availability of these facilities was significantly higher at institutions located in areas with population > 500,000 (n =45) and in those having a higher complexity level (Gastrointestinal, Liver and Internal Medicine Departments at the same hospital (n = 22).
dc.description.abstractConclusions: The epidemiological etiologic profile in hospitalized, decompensated cirrhotic patients in Latin America is similar to main contemporary emergent agents worldwide. Medical and technical resources are highly available, mostly at great population urban areas and high complexity medical centers. Main diagnostic and therapeutic approaches accomplish current guidelines recommendations. (C) 2020 Fundacion Clinica Medica Sur, A.C. Published by Elsevier Espana, S.L.U.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.aohep.2020.03.007
dc.identifier.issn1665-2681
dc.identifier.urihttps://doi.org/10.1016/j.aohep.2020.03.007
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/100457
dc.identifier.wosidWOS:000565853200010
dc.issue.numero4
dc.language.isoen
dc.pagina.final403
dc.pagina.inicio396
dc.revistaAnnals of hepatology
dc.rightsacceso restringido
dc.subjectSurvey
dc.subjectCirrhosis
dc.subjectDecompensation
dc.subjectAscites
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA Latin American survey on demographic aspects of hospitalized, decompensated cirrhotic patients and the resources for their management
dc.typeartículo
dc.volumen19
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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