Le cout financier de la prise en charge hospitaliere de la cirrhose et de ses complications au CHU de Brazzaville

ABSTRACT

This retrospective pilot study was conducted in a series of 166 patients hospitalized for the first time for management of cirrhosis with or without complications over a two-year period at the Unive rsity Hospital Center in Brazzaville; Congo. Complications included ascitis; hepatic encephalopathy; gastrointestinal bleeding; and hep atocelluar carcinoma. Total care cost was determined by adding up expenditures for the initial examination; each day of hospitalization; adjuvant investigations; and administered medication. The mean per- patient cost was 272345 F CFA (415.79 _) in cases involving ascites; 195675 F CFA (298.74_) in cases involving encephalopathy; 207935 F CFA (317.45 _) in cases involving hep atocellular carcinoma; 245680 F CFA (375.08 _) in cases involving gastrointestinal bleeding and 205615 F CFA (313 90 _) in uncomplicated cases. These data document the high cost of hospital care for cirrhosis and re l ated complications in Congo