Frequency of Vitamin D deficiency in liver cirrhosis and its correlation with Child Pugh Score
M. Akif Dilshad, Shafqat Rasool, Amir Latif, Asif Gul, Israr ul Haque, Ghias Un Nabi Tayyab
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ABSTRACT
Objective: To
determine the frequency of vitamin D deficiency in patients with liver
cirrhosis and the relationship of vitamin D deficiency with Child Pugh Class in
patients with cirrhosis.
Materials and Methods: Vitamin D and calcium levels were checked in patients with cirrhosis of
liver aged 18 to 80 years admitted in Gastroenterology department of Lahore General
Hospital. Investigations were also done to calculate Child Pugh (CTP) score and
Child Class was assigned on the basis of score. Quantitative variables were
expressed in terms of mean and standard deviation. Frequency and percentage
were used for qualitative measures. The p-value was calculated by the contingency
coefficient to find a relationship of vitamin D levels to CTP scores of liver
cirrhosis. Data was analyzed using SPSS 24
Study Duration: The
study was carried out from December 2019 to October 2020
Results: A
total of 170 patients with mean age of 43.82 ± 9.72 (19-61) years were
evaluated of which 144 (84.7%) were males, 26 (15.3%) were females. Vitamin D3
deficiency was found in 144/170 (84.7%) patients while insufficiency was found
in 14/170(8.2 %). It was more common in male patients (86.1%) compared to
female patients (76.9%). Mean vitamin D3 levels was 14.4 ± 9.4 ng/ ml. Patients
with Child A cirrhosis 6/10 (60%) had deficiency, with child B 66/82 (80.5%)
while with Child C 72/78 (92.3%) had deficiency of Vitamin D3.
Conclusion: Vitamin
D deficiency is common in patients with cirrhosis and level has decreased
stepwise with higher Child Pugh Class.
Keywords: Cirrhosis, Vitamin D, Child Pugh
score