Survival after Jaundice: A Prospective Study of 1000 Consecutive Cases

Abstract

Malchow-MoSller A, Thomsen C, Hilden J, Matzen P, Mindeholm L, Juhl E, The Copenhagen Computer Icterus Group. Survival after jaundice: a prospective study of 1000 consecutive cases. Scand Gastroenterol 1985, 20, 155-162.

A consecutive series of 1002 jaundiced adult patients covering 23 different causes of jaundice is presented. Patients were followed up for 2 to 7 years. The survival for the 784 patients included during their first episode of jaundice was calculated for each diagnostic category. Examples of decreased survival as compared with the general population were (figures indicate 3 months' and 5 years' survival, respectively): alcoholic cirrhosis 0.81, 0.35; cryptogenic cirrhosis 0.78, 0.32; pancreatic carcinoma 0.54, 0.04; cholangiocarcinoma 0.26, 0.00; and heart failure with liver congestion 0.47, 0.07. Ten of 172 patients with acute viral hepatitis died, 1 of fulminant hepatitis and 9 because of suicide or accidents. Of 105 patients with gallstones 37 died during the study period, but in only 9 of these could death be attributed to the gallstone disease. New diagnostic methods and types of treatment for jaundiced patients have been developed during recent years. To justify fully these diagnostic and therapeutic modalities, knowledge of the prognosis for the various causes of jaundice is essential.

Key Words:

• Differential diagnosis
• jaundice
• mortality
• prognosis