Please use this identifier to cite or link to this item: https://repositorio.unifesp.br/handle/11600/57392
Title: Chronic hepatitis B and D: prognosis according to Child-Pugh score
Other Titles: Hepatites crônicas B e D: prognóstico segundo escore Child-Pugh
Authors: de Oliveira, Marcelo Siqueira [UNIFESP]
Martins Silva, Romeu Paulo
Negreiros do Valle, Suiane da Costa
de Figueiredo, Elisabeth Niglio [UNIFESP]
Fram, Dayana [UNIFESP]
Keywords: Hepatitis B
Hepatitis D
Prognosis
Gastroenterology
Infectology
Hepatite B
Hepatite D
Prognóstico
Gastroenterologia
Infectologia
Issue Date: 2017
Publisher: Assoc Brasileira Enfermagem
Citation: Revista Brasileira De Enfermagem. Brasilia Df, v. 70, n. 5, p. 1048-1053, 2017.
Abstract: Objective: compare chronic hepatitis B patients to those superinfected with hepatitis D virus, according to Child-Pugh score regarding disease severity. Method: retrospective descriptive study, performed with 59 patients followed in the ambulatory, of which 22 (37.3%) were chronically infected with hepatitis B virus (Group HBV) and 37 (62.7%) superinfected with Delta virus (Group HBV+HDV)
variables of sex, age and items of Child-Pugh score were collected by consulting medical records. Results: out of the patients, 57.6% were male, with a mean age of 30.5 years. Score A, which indicates lesser severity, was found in 100% of group HBV and 78.4% of group HBV+HDV. Score B, which indicates greater severity, was found only in group HBV+HDV in 21.6% of the patients. Conclusion: by means of the Child-Pugh score, it was observed that patients with superinfection by HDV tended to present a worse prognosis.
Objetivo: comparar os pacientes com hepatite B crônica com superinfectados pelo vírus D segundo escore de Child-Pugh quanto à gravidade da doença. Método: estudo descritivo retrospectivo, realizado com 59 pacientes acompanhados em ambulatório, sendo 22 (37,3%) cronicamente infectados pelo vírus da hepatite B (Grupo VHB) e 37 (62,7%) com superinfecção por vírus Delta (Grupo VHB+VHD); foram coletadas variáveis quanto ao sexo, idade e referentes ao escore de Child-Pugh por meio de consulta a prontuários. Resultados: entre os pacientes 57,6% era do sexo masculino, com idade média de 30,5 anos. O escore A, que indica menor gravidade, foi encontrado em 100% do grupo VHB e 78,4% do grupo VHB+VHD. O escore B, que indica maior gravidade, foi encontrado apenas no grupo VHB+VHD em 21,6% dos pacientes. Conclusão: por meio do escore de Child-Pugh, observou-se que os pacientes com superinfecção por VHD tendem a apresentar pior prognóstico.
URI: https://repositorio.unifesp.br/handle/11600/57392
ISSN: 0034-7167
Other Identifiers: http://dx.doi.org/10.1590/0034-7167-2016-0205
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