TITLE:
Impact of infection in hospitalized cirrhotic patients in a university hospital
AUTHORS:
Tiago dos Santos Ferreira, Tiago Sevá-Pereira, Jazon Romilson de Souza Almeida, Milena Fioravante, Ademar Yamanaka, Elza Cotrim Soares
KEYWORDS:
Infection; Survival Curve; Mortality; Liver Cirrhosis
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.2 No.3,
August
30,
2012
ABSTRACT: Background: Infection increases the morbidity and mortality in liver cirrhosis patients. The aim of this study was to investigate the impact of infection related to survival and risk factors for death in adult patients with liver cirrhosis in a university hospital. Methods: In a retrospective cohort study of Brazilian hospitalized cirrhotic patients, medical records data were analysed, and all patients who have had one or more confirmed bacterial infection during admission were se-ected for the study. Also, some data as biochemical investigation, Child score, MELD estimation, and evolution and death event were included. Statistical analysis: chi-square, Fisher and Mann-Whitney tests were used. Uni and multivariate analysis were performed, according to Cox regression model. The significant statistical level was p 2.5 mg/dl had increased the risk of death of 4.1, 3.2 and 3.2, respectively. Conclusion: Bacterial infections in hospitalized cirrhotic patients deserve special care, mainly spontaneous bacterial peritonitis, and also patients whose hiponatremia, upper gastrointestinal bleeding, high levels of cre-atinine and MELD high score are found.