Medicine

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Observational Study

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Characteristics of infection and its impact on short-term outcome in patients with acute-on-chronic liver failure ∗

Junjun Cai, PhDa, Mengchen Zhang, MSa, Tao Han, MD, PhDb, , Hui-qing Jiang, MD, PhDa,



Abstract

Bacterial infections are an important cause of mortality in liver failure. However, the type of infection, predictors of infection, and their impact on outcomes in patients with acute-on-chronic liver failure (ACLF) are limited. A total of 389 patients with ACLF were admitted in this retrospective, corhort study. Once admitted, clinical data including first infection site, type (community-acquired, healthcare-associated, or nosocomial), and second infection occurrence during hospitalization were collected. The outcome was mortality within 90 days. Multivariable logistic regression models were preformed to predict second infection development and 90-day mortality. Survival probability curves were calculated by the Kaplan–Meier method. Among 389 patients, 316 (81.2%) patients had infection. The 90-day mortality of patients with and without infection was 52.2% and 16.4%, respectively (P

Characteristics of infection and its impact on short-term outcome in patients with acute-on-chronic liver failure.

Bacterial infections are an important cause of mortality in liver failure. However, the type of infection, predictors of infection, and their impact o...
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