Missed diagnosis of cirrhosis in the inpatient setting.
Missed diagnosis of cirrhosis in the inpatient setting.
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DOI：
10.1002/jhm.12918
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发表时间：
2022-08
影响因子：
2.6
通讯作者：
中科院分区：
文献类型：
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作者：
肝硬化在美国（US）和世界范围内造成大量死亡，导致医疗保健系统的负担不断增加。然而，肝硬化是一种进行性疾病，具有与肝功能障碍和门静脉高压相关的不同潜在并发症。通常情况下，患者可能会出现肝硬化并发症，而以前没有被诊断出来。临床医生认识到这些体征，使患者接受适当的管理，以帮助延迟或避免进一步的疾病进展，同时避免有害的结果和不必要的使用，这是相关的。我们将讨论肝病、肝硬化及其并发症（肝性脑病、腹水和静脉曲张）的流行病学。接下来，我们将讨论遗漏这些诊断对医疗保健系统和患者的基本原理和影响。
Cirrhosis accounts for a large amount of deaths in the United States (US) and worldwide leading to an increasing burden on the healthcare system. Cirrhosis is however a progressive disease with different potential complications related to liver dysfunction and portal hypertension. Often, patients may present with complications of cirrhosis without having been diagnosed previously. It is pertinent that clinicians recognize these signs to put patients on an appropriate course of management to help delay or avoid further disease progression while avoiding deleterious outcomes and unnecessary utilization. We will discuss the epidemiology of liver disease, cirrhosis, and its complications (hepatic encephalopathy, ascites, and varices). Following, we will discuss the rationale and impact of missing these diagnoses on the healthcare system and patient.