Prognostic Factors of Short-Term Mortality in Spontaneous Bacterial Peritonitis Patients
Ahmed, A., Morsy, K., Mohammad, A. (2022). Prognostic Factors of Short-Term Mortality in Spontaneous Bacterial Peritonitis Patients. EKB Journal Management System, 88(1), 4117-4120. doi: 10.21608/ejhm.2022.255204
Amr Ahmed; Khairy Hammam Morsy; Asmaa Naser Mohammad. "Prognostic Factors of Short-Term Mortality in Spontaneous Bacterial Peritonitis Patients". EKB Journal Management System, 88, 1, 2022, 4117-4120. doi: 10.21608/ejhm.2022.255204
Ahmed, A., Morsy, K., Mohammad, A. (2022). 'Prognostic Factors of Short-Term Mortality in Spontaneous Bacterial Peritonitis Patients', EKB Journal Management System, 88(1), pp. 4117-4120. doi: 10.21608/ejhm.2022.255204
Ahmed, A., Morsy, K., Mohammad, A. Prognostic Factors of Short-Term Mortality in Spontaneous Bacterial Peritonitis Patients. EKB Journal Management System, 2022; 88(1): 4117-4120. doi: 10.21608/ejhm.2022.255204

Prognostic Factors of Short-Term Mortality in Spontaneous Bacterial Peritonitis Patients

The Egyptian Journal of Hospital Medicine
Article 297, Volume 88, Issue 1, July 2022, Pages 4117-4120    PDF (611.48 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.255204
Authors
Amr Ahmed* ; Khairy Hammam Morsy; Asmaa Naser Mohammad
Faculty of Medicine, Sohag University
Abstract
Introduction: In cirrhotic individuals, spontaneous bacterial peritonitis (SBP) is one of the most frequent side effects. 1-year mortality is up to 50% even with strong prevention, early diagnosis, and effective care.
Aim: To analyze prognostic factors of short-term mortality in SBP individuals.
Patients and Methods: In our study, 92 SBP patients were involved. Prothrombin time, international normalized ratio (INR), liver enzymes, serum albumin, total bilirubin, complete blood count, and serum creatinine were all evaluated. A sample of ascitic fluid was collected for chemical analysis. Follow up of the patients was done during hospital admission for complications and mortality. 
Results: Significantly correlated with mortality were Child score (P=0.02), MELD score (P=0.003), hepatic encephalopathy (P=0.009), and hepatorenal syndrome (P<0.001) in SBP patients. Patients who died had considerably higher WBCs (P=0.003),  serum creatinine levels: basal creatinine (P<0.001), maximum creatinine (P<0.001) and last creatinine (P<0.001), ascitic fluid WBCs (P<0.001) and PMNL count (P<0.001) while platelets (P<0.001), ALT (P<0.001), Serum total bilirubin (P<0.001), ascitic fluid protein(P<0.001) and ascitic fluid albumin (P=0.007) were higher in survivors.
Conclusion: In SBP patients, WBCs, serum creatinine, ascitic fluid WBCs  and PMNL count, MELD score, Child-Pugh score, hepatic encephalopathy and hepatorenal syndrome were all strongly linked to mortality.
 
Keywords
Liver cirrhosis; Mortality; Spontaneous bacterial peritonitis
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