Clinical audit on management of hepatic encephalopathy in children admitted to gastroenterology and Hepatology unit of Assiut University children hospital
المؤلفون المشاركون
Ali, Fatimah A.
Maken, Johnny M.
Ibrahim, Najla H.
المصدر
Journal of Current Medical Research and Practice
العدد
المجلد 5، العدد 1 (31 مارس/آذار 2020)، ص ص. 71-78، 8ص.
الناشر
تاريخ النشر
2020-03-31
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الموضوعات
الملخص EN
Introduction Hepatic encephalopathy (HE) is an important metabolic disturbance in children.
It is defined as a spectrum of neuropsychiatric abnormalities in patients with liver dysfunction, after exclusion of brain disease.
Patients and methods A clinical audit on management of HE was applied according to the guideline protocol used in Gastroenterology and Hepatology Unit of Assiut University Children Hospital.
The study included 52 children with HE who were admitted to Gastroenterology and Hepatology Unit over 1-year period from the 1st of March 2016 to the 28th of February 2017.
Results Detailed history intake was recorded in most cases, except history of drug intake, which was not recorded in 23.15% of cases; history of reversal of sleep rhythm, which was not recorded in 17.3% of cases; and history of behavioral changes, which was not recorded in 9.6% of cases.
Data of examination were recorded in most cases, except for fetor hepaticus, which was recorded in 42.3% of cases; asterixis, which was recorded in 36.5% of cases; and neurological examination, which was recorded in 91.2% of cases.
Basic and mandatory investigations in the diagnosis of HE were done.
The standard treatment of HE has been applied except admission to the ICU and prophylactic endotracheal intubation were not applied.
Moreover, oral branched-chain amino acids and rifaximin were not given.
Conclusion The international guidelines for the management of HE have been followed by the Gastroenterology and Hepatology Unit of Assiut University Children Hospital in most treatment lines and that some of the default is owing to poor-resource setting and lack of medication.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Maken, Johnny M.& Ali, Fatimah A.& Ibrahim, Najla H.. 2020. Clinical audit on management of hepatic encephalopathy in children admitted to gastroenterology and Hepatology unit of Assiut University children hospital. Journal of Current Medical Research and Practice،Vol. 5, no. 1, pp.71-78.
https://search.emarefa.net/detail/BIM-956285
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ali, Fatimah A.…[et al.]. Clinical audit on management of hepatic encephalopathy in children admitted to gastroenterology and Hepatology unit of Assiut University children hospital. Journal of Current Medical Research and Practice Vol. 5, no. 1 (Jan. / Mar. 2020), pp.71-78.
https://search.emarefa.net/detail/BIM-956285
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Maken, Johnny M.& Ali, Fatimah A.& Ibrahim, Najla H.. Clinical audit on management of hepatic encephalopathy in children admitted to gastroenterology and Hepatology unit of Assiut University children hospital. Journal of Current Medical Research and Practice. 2020. Vol. 5, no. 1, pp.71-78.
https://search.emarefa.net/detail/BIM-956285
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 77-78
رقم السجل
BIM-956285
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر