Chronic hepatitis B and D: prognosis according to Child-Pugh score

• Published in: Revista Brasileira de Enfermagem 2017-09, Vol.70 (5), p.1048-1053
• Main Authors: Oliveira, Marcelo Siqueira de, Silva, Romeu Paulo Martins, Valle, Suiane da Costa Negreiros do, Figueiredo, Elisabeth Níglio de, Fram, Dayana
• Format: Article
• Language: English
• Subjects: Adult; Brazil; Chronic illnesses; Epidemiology; Female; Gastroenterologia; Hepatite B; Hepatite D; Hepatitis; Hepatitis B; Hepatitis B - classification; Hepatitis D - classification; Humans; Infections; Infectologia; Internet; Liver cancer; Liver cirrhosis; Liver diseases; Male; Medical prognosis; Middle Aged; NURSING; Prognosis; Prognóstico; Retrospective Studies; Severity of Illness Index; Viruses
• ISSN: 0034-7167; 1984-0446; 1984-0446; 0034-7167
• DOI: 10.1590/0034-7167-2016-0205

compare chronic hepatitis B patients to those superinfected with hepatitis D virus, according to Child-Pugh score regarding disease severity. 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. 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. by means of the Child-Pugh score, it was observed that patients with superinfection by HDV tended to present a worse prognosis. comparar os pacientes com hepatite B crônica com superinfectados pelo vírus D segundo escore de Child-Pugh quanto à gravidade da doença. 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. 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. por meio do escore de Child-Pugh, observou-se que os pacientes com superinfecção por VHD tendem a apresentar pior prognóstico.