Pattern of Liver Diseases

Abstract

Background: The knowledge of distribution and pattern of liver disease in a tertiary care center provides an overview of disease pattern in a community. It also helps in planning and prioritizing strategies to treat the diseases and reduce their burden in the community. Methods: A retrospective study was conducted among patients admitted to the Liver unit, Bir Hospital from April 13, 2008 to October 16, 2008. Demographic profile and disease pattern was studied. Descriptive analysis was used to calculate frequencies and percentage and their relations. Results: Male to female ratio was 2.3:1. The mean age was 41.9 (SD 14.8). Median hospital stay was 8.0 days (Q25-75 6.0-12.0). The top three diseases were alcoholic liver disease 50 (38.5%), viral hepatitis 44 (33.8%), and liver abscess 11 (8.5%). Fifty (38.5%) patients had acute, 74 (56.9%) had chronic liver disease and 6 (4.6%) were malignancy. The main cause of acute disease were infections 41 (82.0%) especially Hepatitis E Virus (HEV). HEV was associated with acute liver failure and pregnancy which was 4 (18.2%) and 2 (12.5%) respectively. Chronic diseases were caused by alcohol 45 (60.8%) followed by infection of hepatitis B and C viruses 11 (14.8%). Cirrhosis was diagnosed in 37 (28.5%) with alcohol as the main cause. Conclusions: Majority had chronic liver disease (CLD), mostly due to alcohol, HBV and HCV. Alcohol was the leading cause of cirrhosis. Prevalence of Hepatitis E was found to be high in acute illness. Therefore, an initiative needs to be taken to decrease alcohol consumption along with HEV, HBV and HCV transmission through community health program. Key words: Alcohol, cirrhosis, hepatitis, liver disease   DOI: 10.3126/jnhrc.v7i1.2273 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 14-18