Youssouf O, Ouati JB, Police SC. [Etiologies of mortality in the hepato-gastroenterology and internal medicine department at the Sino-Central African Friendship University Hospital].
Mali Med 2022;
38:32-36. [PMID:
38506176]
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Abstract
OBJECTIVE
to contribute to improving the care of patients hospitalized in the department.
PATIENTS AND METHODS
This was a cross-sectional study from January 1, 2018 to December 31, 2020. We included patients of both sexes hospitalized and who died in the department whose cause of death was known.
RESULTS
During the study period, 1324 patients were hospitalized, of whom 279 died (21.07%). Of the 279 cases of death, 222 were included in the study. The clinical signs were: deterioration in general condition (95%), ascites (61.7%), hepatomegaly (57.6%), jaundice (44.9%). The most frequent diagnoses retained in our patients were: cirrhosis (39.6%), primary liver cancer (30.6%), HIV infection (11.4%), pancreatic cancer '6.8%). Causes of death were in order of frequency: hepatic encephalopathy (22.5%), primary end-stage liver cancer (20.3%), ascites fluid infection (16.2%) , hypovolemic shock (14.9%).
CONCLUSION
The deceased patients had chronic liver disease with a significant deterioration in general condition. Deaths are due to infectious and metabolic complications. An improvement of the technical platform is essential.
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