Page 10 - Time to DeLiver: Getting a Grip on HE report 2015
P. 10

SECTION 1
Continued...

Figure 1: Liver transplantation in Europe between 1968‒2010.                                              Azerbaijan

Evolution of 108,124 liver transplantations in Europe                                      Yugoslavia     Belarus
(Adapted from Busuttil, 2015).                                                             Hungary

Inclusion of country names indicate when liver                               PortugaTlurkSEelsyotvoenRnioaim5a3a5n3i5a7157857995672786226911579654924
transplants were introduced in these countries.                              Bulgaria               5342

                                                                    Czech Rep.                5146                                                     Number of liver transplantations
                                                                                          4939
                                                                    Denmark            4664
                                                                    Poland

                                                                                     4360

                                                                                4058

                        Sweden                                                 3763
                        Spain                                              3633
                                                                       3336

                        Norway                                         2997

                        Italy Ireland 2756

Great Britain Germany   The Netherlands Finland                  2512
                                                       Swiss  2118

Belgium Austria France

                                                              1695

                        1256

                                                                           813
                                                                        532
                                                                   285
7 10 7 5 3 6 4 10 22 22 15 21 22 44 70 75158

68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 2000 2002 2004 2006 2008 2010

                                                                  Year

      Hepatic Encephalopathy                                           •	 Hepatic encephalopathy manifests
      is a significant
      complication of Advanced                                             as a wide spectrum of neurological
      Chronic Liver Disease                                                and psychological abnormalities
                                                                           including personality changes, such as
  	                                                                        apathy and irritability, disorientation,
8                                                                          inappropriate behaviour, confusion and
                                                                           asterixis (flapping tremor in the hands).
                                                                           Furthermore, patients may have problems
                                                                           with their sleep/waking pattern.1,11

                                                                       •	 Cognition may also be affected, for

                                                                           example the ability to concentrate,
                                                                           undertake calculations, read or watch
                                                                           the television.1,11
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