Chinese Hepatolgy ›› 2023, Vol. 28 ›› Issue (3): 305-308.

• Viral Hepatitis • Previous Articles     Next Articles

Application of retrospective follow-up in improving diagnosis and treatment of hepatitis C virus in hospitalized patients

HAO Shuai1, YAN Hong-lin1, KONG Fan-jiao1, ZHANG Xiao-ying2, HAN Yang2, GUO Fei-hu1, HE Na3   

  1. 1. The First Affiliated Hospital of Xi'an Medical College,Shaanxi 710006, China;
    2. Department of Laboratory Medicine,the First Affiliated Hospital of Xi'an Medical College, Shaanxi 710006, China;
    3. Department of Gastroenterology,the First Affiliated Hospital of Xi'an Medical College, Shaanxi 710006, China
  • Received:2022-05-09 Online:2023-03-31 Published:2023-08-28
  • Contact: HE Na,Email:ylhena@163.com

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Abstract: Objective To investigate the status of diagnosis and treatment in inpatients with positive hepatitis C antibody through retrospective follow-up, and to educate the knowledge of hepatitis C, so as to improve the awareness of hepatitis C virus (HCV) in high-risk patients. Methods A total of 364 inpatients with anti-HCV positive admitted to our hospital from July 1, 2021 to February 15, 2022 were followed up. Including understand the basic situation of the patients and conduct specific education according to whether they were aware of anti-HCV positivity and the current status of diagnosis and treatment of hepatitis C. Before the end of the follow-up visit, consulted the patients about their willing of the medical knowledge education and whether they were willing to further confirm the diagnosis and treatment. Results Among the 364 patients, 38.5% were aware of hepatitis C, 42.3% were unaware, and 19.2% were loss to follow up. Among the informed patients: 12.9% were undiagnosed patients and 28.5% were diagnosed and untreated patients. Among the unaware patients: 79.0% were unaware that they had hepatitis C, 10.8% were unaware that hepatitis C could be cured, 7.7% were unaware that the price of drugs had been reduced and that health insurance was available, and 2.6% were informed but unaware of both the cure and the price reduction. After educating patients about hepatitis C knowledge, the patients' awareness rate of the disease, the rate of willingness to further diagnose and the rate of willingness to treat all increased significantly, and 76.3% (184/241) of the patients expressed their willingness to treat and test very positively, 11.6% of patients refused treatment and testing. Conclusion Retrospective follow-up of anti-HCV positive inpatients and education on hepatitis C knowledge and health insurance policies are not only an important means to raise awareness of hepatitis C among high-risk groups, but also an effective complementary measure to eliminate hepatitis C in hospitals, which is of great significance to fully improve the diagnosis and treatment rates of hepatitis C.

Key words: Hepatitis C virus, Retrospective follow-up, Raising awareness, Applying research