A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India
Background: Hepatic dysfunction is a known complication in neonates with hypoxic ischemic encephalopathy (HIE). Aims and Objectives: We conducted this study to compare hepatic function between normal and asphyxiated newborn and whether the changes in liver function vary with the grade of HIE....
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-12-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/48007 |
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| author | Kanai Lal Barik Barnika Purkayastha Nilanjan Ghosh Sumanta Laha Amit Adhikary Sayan Bera |
| author_facet | Kanai Lal Barik Barnika Purkayastha Nilanjan Ghosh Sumanta Laha Amit Adhikary Sayan Bera |
| author_sort | Kanai Lal Barik |
| collection | DOAJ |
| description | Background: Hepatic dysfunction is a known complication in neonates with hypoxic ischemic encephalopathy (HIE).
Aims and Objectives: We conducted this study to compare hepatic function between normal and asphyxiated newborn and whether the changes in liver function vary with the grade of HIE.
Materials and Methods: This observational analytical cross-sectional study was done in a rural medical college of eastern India for 1 year with 51 HIE (17 each in HIE I, II, and III group) and 51 healthy neonates as control. Biochemical parameters of liver function such as alanine transferase (ALT), aspartate transferase (AST), alkaline phosphatase (ALP), total serum bilirubin (TSB), serum albumin, and prothrombin time (PT) were measured in both groups between 48 and 72 h of birth.
Results: We found that TSB, liver enzymes, and PT ware significantly elevated and serum albumin reduced in HIE group in comparison to control group. However, TSB, PT, and serum albumin does not differ much among three stages of HIE. By contrast, liver enzymes increases significantly among three stages of HIE, and also, there is significant difference in ALT, AST, and ALP between survivor and non-survivor of HIE babies.
Conclusion: Hence, liver function test may serve as an useful early marker of perinatal asphyxia when the history of birth asphyxia is lacking and it can also be used as a prognostic indicator as there is more rise of liver enzymes from low to high grade of HIE and from survived to expired HIE babies. |
| first_indexed | 2024-04-12T05:59:55Z |
| format | Article |
| id | doaj.art-ecb11d0aee0141b690d39af5dcf1cb51 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-12T05:59:55Z |
| publishDate | 2022-12-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-ecb11d0aee0141b690d39af5dcf1cb512022-12-22T03:45:04ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-12-0113126165https://doi.org/10.3126/ajms.v13i12.48007A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern IndiaKanai Lal Barik 0https://orcid.org/0000-0001-8206-7783Barnika Purkayastha 1https://orcid.org/0000-0002-3559-5484Nilanjan Ghosh 2https://orcid.org/0000-0001-6709-9330Sumanta Laha 3https://orcid.org/0000-0002-8215-4737Amit Adhikary 4https://orcid.org/0000-0002-9731-8474Sayan Bera 5https://orcid.org/0000-0001-8597-7483Professor, Department of Pediatric Medicine, Burdwan Medical College, East Burdwan, West Bengal, India Senior Resident, Anandaloke Multispeciality Hospital and Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India Assistant Professor, Department of Pediatric Medicine, Burdwan Medical College, East Burdwan, West Bengal, India Associate Professor, Department of Pediatric Medicine, Burdwan Medical College, East Burdwan, West Bengal, India Senior Resident, Amta Rural Hospital, Amta, Howrah, West Bengal, India Junior Resident, Department of Pediatric Medicine, Burdwan Medical College, East Burdwan, West Bengal, India Background: Hepatic dysfunction is a known complication in neonates with hypoxic ischemic encephalopathy (HIE). Aims and Objectives: We conducted this study to compare hepatic function between normal and asphyxiated newborn and whether the changes in liver function vary with the grade of HIE. Materials and Methods: This observational analytical cross-sectional study was done in a rural medical college of eastern India for 1 year with 51 HIE (17 each in HIE I, II, and III group) and 51 healthy neonates as control. Biochemical parameters of liver function such as alanine transferase (ALT), aspartate transferase (AST), alkaline phosphatase (ALP), total serum bilirubin (TSB), serum albumin, and prothrombin time (PT) were measured in both groups between 48 and 72 h of birth. Results: We found that TSB, liver enzymes, and PT ware significantly elevated and serum albumin reduced in HIE group in comparison to control group. However, TSB, PT, and serum albumin does not differ much among three stages of HIE. By contrast, liver enzymes increases significantly among three stages of HIE, and also, there is significant difference in ALT, AST, and ALP between survivor and non-survivor of HIE babies. Conclusion: Hence, liver function test may serve as an useful early marker of perinatal asphyxia when the history of birth asphyxia is lacking and it can also be used as a prognostic indicator as there is more rise of liver enzymes from low to high grade of HIE and from survived to expired HIE babies.https://www.nepjol.info/index.php/AJMS/article/view/48007hypoxic ischemic encephalopathy; liver function test; neonate |
| spellingShingle | Kanai Lal Barik Barnika Purkayastha Nilanjan Ghosh Sumanta Laha Amit Adhikary Sayan Bera A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India Asian Journal of Medical Sciences hypoxic ischemic encephalopathy; liver function test; neonate |
| title | A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India |
| title_full | A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India |
| title_fullStr | A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India |
| title_full_unstemmed | A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India |
| title_short | A comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of Eastern India |
| title_sort | comparative study of liver function test between normal neonates and neonates with different stages of hypoxic ischemic encephalopathy in a district medical college of eastern india |
| topic | hypoxic ischemic encephalopathy; liver function test; neonate |
| url | https://www.nepjol.info/index.php/AJMS/article/view/48007 |
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