Evaluation of the survival of patients with cirrhosis of viral etiology B / C in 3 hospitals of Kinshasa in the Democratic Republic of Congo
Abstract Background and objective : The causes of declining survival in cirrhotic patients are dominated by complications in developing countries. But data on survival among cirrhotics in Sub-Saharan Africa are sketchy. The general objective was to assess the survival and predictors of mortality in patients with viral cirrhosis of the liver in 3 hospitals in the Democratic Republic of Congo. Methods: A historic cohort study from 2009 to December 2018. Patients were recruited and followed up at the Ngaliema Clinic, CUK and HPGRK for 10 years. Death was the endpoint and patients lost to follow-up were censored. The Kaplan Méier curves made it possible to describe the survival of children at the threshold of p <0.05. Results : One hundred and four, 124 were male (75.6%), mean age 50.1 ± 16.1 years, 54.9% HBV viral etiology and 18.9% HBV-HCV co-infection were included. 37.8% cirrhotic had died. The probability of survival for cirrhotic patients at the start of follow-up was 81.7%, 69.5%, 62.2%, 62.2% and 62.2%, respectively, at 1 year, 2 years, 3 years, 4 years and 10 years. The predictors of mortality were age ≥60 years, hepatocellular carcinoma, encephalopathy, Child Pugh class B and C and low Hb. Conclusion: complications in cirrhotics are the factors of poor prognosis for the survival of patients in this cohort. Early detection of cirrhosis increases the survival of cirrhotic patients.