%0 Journal Article
%T Frequency of poor quality of life and predictors of health related quality of life in cirrhosis at a tertiary care hospital Pakistan
%A Om Parkash
%A Romaina Iqbal
%A Fatima Jafri
%A Iqbal Azam
%A Wasim Jafri
%J BMC Research Notes
%D 2012
%I BioMed Central
%R 10.1186/1756-0500-5-446
%X This was a cross sectional study conducted in gastroenterology outpatient clinics of Aga Khan University Hospital, Karachi on adult patients with cirrhosis. In this study chronic liver disease questionnaire (CLDQ) was used to assess HRQOL of these patients and CLDQ score was used as an outcome measure to determine factors related with HRQOL.273 participants were recruited in the study; 155 (57%) were males. Mean age of participants was 49£¿¡À£¿11£¿years. The most common cause for cirrhosis was viral infection 247(91.5%). Mean Model for End Stage Liver Disease (MELD) score was 12.6£¿¡À£¿6.8 and 2/3 of patients 209 (76.6%) had advanced cirrhosis in Child Turcot Pugh (CTP) B or C stage. Poor HRQOL was seen in 187(69%; 95% C.I.: 63%, 74%) of the participants. Mean CLDQ score was 4.36 ¡À1.1. Amongst all of the domains, fatigue domain had lower CLDQ score. Hemoglobin (¦Â£¿=£¿0.09 [SE£¿=£¿0.04]), Albumin (¦Â£¿=£¿0.32[SE£¿=£¿0.09]), Diastolic Blood Pressure (DBP) (¦Â£¿=£¿0.01[0.005) prior history of decompensation (¦Â£¿=£¿0.98[SE£¿=£¿0.39] were significant factors associated with HRQOL in patients with liver cirrhosis.Frequency of poor health related quality of life determined by CLDQ score is high in patients with liver cirrhosis. Hemoglobin, serum albumen, prior history of decompensation (like encephalopathy and upper gastro intestinal bleed), are associated with health related quality of life.Recently Quality of Life (QOL) has become the principal goal of medical care because of the increasing emphasis on the patients as focal point of health care, patients¡¯ functioning preservation and wellbeing. Henceforth measurement of patient¡¯s HRQOL is receiving attention in medical research [1].HRQOL is a subjective multidimensional concept which includes functional status, emotional and social wellbeing as well as general health [2]. Similarly World Health Organization (WHO) has also expanded and redefined the definition of health which now includes mental and social wellbeing, therefore WHO has defined h
%K Hepatitis
%K Chronic liver disease
%K Hepatic encephalopathy
%K Ascites
%K Quality of life
%K Upper GI bleed
%K Cirrhosis
%K Health related Quality of life
%K Hepatitis C and Hepatitis B
%U http://www.biomedcentral.com/1756-0500/5/446