PRIMARY DISABILITY DUE TO LIVER CIRROSIS IN THE GOMEL REGION
Abstract
Background. Liver cirrhosis (LC) develops as the outcome of various diseases - viral hepatitis, alcoholic liver disease, autoimmune lesions and others. The delayed diagnosis of the disease often leads to persistent disability of patients.
Objective – to analyze the indicators of disability due to LC in the adult population of the Gomel region over the period of 2014-2018.
Material and methods. We analyzed 291 medical rehabilitation expert commission findings issued to patients over 18 years old, first recognized as disabled due to LC, over 2014-2018.
Results. The percentage of disability due to LC in general structure of primary disability in the Gomel region amounted to 0.66% on average over 2014-2018. Most often, LC leads to disability in the age group of 40-69 (83.7%), working-age people predominating more among men (81.9%) than women (59.4%, p <0.001). The percentage of working-age people recognized as disabled due to LC averaged 54.2% over 5 years. The severity rate of LC totaled 52.9% over 2014-2018. In the etiological structure of LC, the proportion of alcoholic LC is extremely low (less than 3%), while that of unspecified etiology exceeds 55%.
Conclusion. More than half of people with disabilities due to LC are of working age. The severity rate of LC amounted to 52.9% indicating the delayed diagnosis of LC (already at decompensated stage) in half of patients with the resulting loss of rehabilitation potential. It is necessary to improve etiological diagnosis of this pathology.
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