Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Jan;19(1):43-46.
doi: 10.7861/clinmedicine.19-1-43.

How I treat… alcohol-related liver disease

Affiliations
Review

How I treat… alcohol-related liver disease

Luke D Tyson et al. Clin Med (Lond). 2019 Jan.

Abstract

Age-standardised mortality from liver disease in the United Kingdom has risen by 400% since 1970, with three-quarters of deaths from alcohol-related liver disease (ARLD). The 2013 National Confidential Enquiry into Patient Outcome and Death report found that only 47% of the patients dying in hospital from liver disease experienced 'good' care. We discuss common complications in the care of patients with ARLD and the evidence-based best practice that can improve patient outcomes, with a focus on the initial management of patients presenting acutely to the medical take.

Keywords: Alcohol; best practice; cirrhosis; decompensation; withdrawal; ­dependence.

PubMed Disclaimer

Similar articles

References

    1. Williams R, Aspinall R, Bellis M, et al. Addressing liver disease in the UK: a blueprint for attaining excellence in health care and reducing premature mortality from lifestyle issues of excess consumption of alcohol, obesity, and viral hepatitis. Lancet 2014;384:1953–97. - PubMed
    1. Public Health England The public health burden of alcohol and the effectiveness and cost-effectiveness of alcohol control policies: An evidence review. London: Public Health England, 2016. https://assets.publishing.service.gov.uk/government/uploads/system/uploa... [Accessed 14 July 2018].
    1. Office for National Statistics Alcohol related deaths 1994–2015. Newport: Office for National Statistics, 2017. www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/dea... [Accessed 14 July 2018].
    1. National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Alcohol-related liver disease: measuring the units. NCEPOD, 2013. www.ncepod.org.uk/2013arld.html [Accessed 14 July 2018].
    1. McPherson S, Dyson J, Austin A, Hudson M. Response to the NCEPOD report: development of a care bundle for patients admitted with decompensated cirrhosis-the first 24 h. Frontline Gastroenterol 2016;7:16–23. - PMC - PubMed