Comparison of Scoring Systems for Prognosis in Cirrhotic Patients Admitted with Hepatic Encephalopathy

Objective: To compare various scoring systems to predict the prognosis in patients of cirrhosis presenting with hepatic encephalopathy at Pak Emirates Military Hospital Rawalpindi.
 Study Design: Cross-sectional study.
 Place and Duration: Gastroenterology Department, Rawalpindi, from Sep 2018 Feb 2019.
 Methodology: This study was conducted on 55 suffering liver presetting our hospital. Diagnosis made by a consultant gastroenterologist based clinical findings relevant investigations. Chronic failure-sequential organ failure assessment (CLIF-SOFA), Model for end stage disease (MELD), Child-Turcotte-Pugh (CTP) scores were calculated all within first 24 hours presentation. Outcome patient either discharged or deceased study. Comparison between three that which is better predictor these patients.
 Results: Out included final analysis 35 male 20 female. Commonest etiology Infection followed Constipation.10 had grade 1 encephalopathy, 15 2, 3 while 10 4 encephalopathy. CLIF-SOFA emerged as MELD CTP.
 Conclusion: best predicting CTP also significant this regard but less compared CLIFSOFA.