Upon receiving the consent from the patient, Following data is to be collected as follows:

Clinical history and examination

Mode of decompensation

Etiology of acute event

Etiology of chronic event

Severity assessment indices

Complications if any

Investigations

Hematology

CBC, Prothrombin time and INR, Peripheral smear, Reties Biochemistry

Liver function testing, AFP 

Kidney function test

Etiology of acute event:

Infectious etiology: IgM anti HAY , lgM anti HEY, lgM anti HBc ( If HBsAg +ve), lgM anti HDY ( If HBsAg +ve), HEY RNA

Non Infectious etiology: Alcohol binging in last 4 weeks, hepatotoxic drugs, ANA (> 1: 80), lgG, surgeries in past 4 weeks. acute variceal bleed within 4 weeks

Etiology of underlying chronic liver disease :

Infectious etiology: total anti HBc, anti HCY, HCY RNA, HBY DNA

Non infectious etiology: Autoimmune markers, copper studies, iron studies.

HOMA IR, FBS

Ascitic fluid analysis

UGI endoscopy and liver biopsy as needed

Any other investigations as per clinical need and judgement of physician

Imaging

USG abdomen with Doppler for spleno-portal axis OR CECT- Triple phase upper abdomen

Follow-up

Treatment will be done as per treating physician

Physical examination will be done daily, after I week and at 4 weeks, at 2 months, at 3 months and at 6 months

CBC on alternate day for 1 week, at end of I week and then at end of 4 weeks at 2 months, at 3 months and at 6 months

KFT on alternate day for 1 week, at end of 1 week and then at end of 4 weeks, at 2 months, at 3 months and at 6 months