A Study of Patients of Alcoholic Liver Disease with Special Reference to Different Scoring Systems for Prognostication

The aim was to study the clinical profile of patients having alcoholic liver disease (ALD) and prognosticating these with special reference to 5 different scoring systems (Child-Pugh score, ABIC, GAHS, MELD and MDF). The study population included total 100 patients proven to have ALD on the basis of clinical, biochemical and ultrasonographic parameters. Different scoring systems were used to predict disease severity and mortality risk in patients with ALD. In the present study all the cases were males. Out of the 100 patients majority of the patients were in the age group of 30–39 yrs (34%), (88%) consumed 180 ml of alcohol per day and (53%) consumed alcohol for a period of 11-20 yrs. Nausea and vomiting (89%) was an important symptom, Jaundice was an important finding in alcoholics seen in 88%. Out of 100 cases 3 cases (3%) had normal liver function tests, whereas remaining 97 had one or other abnormal liver function tests. Sensitivity and specificity is maximum corresponding to MELD test. So we conclude that test MELD is best among the all.