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211058

Clinical, Biochemical and Inflammatory Predictors of Mortality in Patients with Spontaneous Bacterial Peritonitis

Article

Last updated: 24 Dec 2024

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Abstract

Background: Spontaneous bacterial peritonitis (SBP) is a serious complication of liver cirrhosis. It contributes to high morbidity and mortality in this population. In-hospital mortality of SBP ranges between 20% and 40%, suggesting that further refinements are essential in managing SBP. Early recognition of high-risk patients would enable us to reduce the short-term mortality. Objective: The current study aimed to evaluate the value of clinical, biochemical and inflammatory markers in the prediction of 1-month and 3-month cumulative mortality in patients with SBP. Patients and methods: Two hundred patients with a confirmed diagnosis of SBP were enrolled. They were admitted and received the proper treatment at the National Liver Institute Hospital-Menoufia University, Egypt. Patients were prospectively followed up for mortality over a period of three months. Predictors of mortality were assessed and analyzed. Results: Mortality rates were 20% and 41% at 1 month and 3 month respectively. Our findings showed that low blood pressure, abdominal pain, fever, higher Child-Pugh score, MELD score, serum bilirubin, INR, serum creatinine, C-reactive protein to albumin (CRP/Albumin) ratio, neutrophil–lymphocyte ratio (NLR), massive splenomegaly and large ascites have been demonstrated as risk factors associated with short-term mortality. Conclusion: SBP carries a high risk of mortality among cirrhotic patients. Clinical parameters (low blood pressure, abdominal pain, fever, massive splenomegaly and large ascites), prognostic scores (Child-Pugh and MELD) and inflammatory markers (CRP, CRP/albumin ratio, and NLR) seem to be accurate and reliable tools that could independently predict short-term mortality in patients with SBP.    

DOI

10.21608/ejhm.2022.211058

Keywords

Spontaneous Bacterial Peritonitis, SBP mortality predictors, C-reactive protein, CRP-albumin ratio, neutrophil–lymphocyte ratio

Authors

First Name

Talaat

Last Name

Zakareya

MiddleName

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Affiliation

Department of Gastroenterology and Hepatology, National Liver Institute, Menoufiya University, Shebeen El-Kom, Menoufiya, 32511, Egypt,

Email

talaatzakareya@gmail.com

City

Shebeen El-Kom

Orcid

0000-0001-9370-8267

First Name

Wael Mohamed

Last Name

Abd El-Razek

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamed

Last Name

Akl Rady

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Heba Mohamed

Last Name

Abdallah

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ahmed Ali

Last Name

El-Awady

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Mohamed Ali

Last Name

Abbasy

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

86

Article Issue

1

Related Issue

29518

Issue Date

2022-01-01

Receive Date

2021-12-28

Publish Date

2022-01-01

Page Start

228

Page End

237

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_211058.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=211058

Order

37

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Clinical, Biochemical and Inflammatory Predictors of Mortality in Patients with Spontaneous Bacterial Peritonitis

Details

Type

Article

Created At

22 Jan 2023