{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:02:37Z","timestamp":1777899757618,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2004,8,1]],"date-time":"2004-08-01T00:00:00Z","timestamp":1091318400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:p>Background: Patients with alcoholic liver disease (ALD) presenting with jaundice have advanced chronic ALD and\/or acute alcoholic hepatitis. Their prognosis is poor. These patients may be managed by General Medical physicians (GM) or by Gastroenterologists (GE). Aim: This study aimed to retrospectively assess the differences in management and outcome of jaundiced ALD between GM and GE. Patients and Methods: Patients with a serum bilirubin greater than 80 mmol\/l on admission and a history of alcohol excess until within three weeks of admission were identified retrospectively. In particular the use of corticosteroids (CS), nutritional support (N) and the use of broad-spectrum antibiotics (A\/b) were noted. Results: 97 patients were identified, 62 managed by GE. Differences were apparent between GE and GM managed patients with respect to CS (p = 0.017), N (p &lt; 0.001) and A\/b (p &lt; 0.001). The overall mortality was 27.8%, 34.0%, and 37.1% at 28, 56, and 84 days respectively. Mortality for patients with a Discriminant Function \u2248 32 was greater in GM managed patients compared with GE at 28 (p=0.006), 56 (p = 0.013), and 84 days (p = 0.036). Conclusion: Differences exist between the management of jaundiced ALD between GM and GE. Such differences may translate into improved outcomes.<\/jats:p>","DOI":"10.1177\/003693300404900304","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T20:35:42Z","timestamp":1484253342000},"page":"84-87","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Specialist Management of Jaundiced Alcoholic Liver Disease Patients"],"prefix":"10.1177","volume":"49","author":[{"given":"E H","family":"Forrest","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Victoria Infirmary, Glasgow"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,8,1]]},"reference":[{"key":"bibr1-003693300404900304","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.alcalc.a008123"},{"key":"bibr2-003693300404900304","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(68)90111-3"},{"key":"bibr3-003693300404900304","first-page":"134","volume":"55","author":"Chick J.","year":"1997","journal-title":"Health Bulletin"},{"key":"bibr4-003693300404900304","unstructured":"Information and Statistics Division Online. 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