Abstract
Few studies have analyzed the impact of liver cirrhosis, a clinically significant comorbid medical condition, on the mortality of patients with community-acquired bacteremia. We conducted an observational study of 839 consecutive community-acquired bacteremia patients who were hospitalized through the emergency department (ED). We compared the 30-day mortality of bacteremia patients with and without liver cirrhosis using Cox proportional hazards regression. The probability of survival at day 30 was significantly different for the cirrhotic and noncirrhotic groups (53% versus 82%, respectively; P < 0.001 by the log-rank test). Multivariate analysis indicated that liver cirrhosis was associated with an increased risk of short-term mortality (hazard ratio, 2.0; 95% confidence interval, 1.1-3.5), as well as age, higher comorbidity index, and markers obtained from clinical presentation at ED. In conclusion, in addition to the effects from other prognostic factors, liver cirrhosis has a significant impact on the mortality of patients with community-acquired bacteremia.
| Original language | English |
|---|---|
| Pages (from-to) | 124-130 |
| Number of pages | 7 |
| Journal | Diagnostic Microbiology and Infectious Disease |
| Volume | 64 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2009 Jun 1 |
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All Science Journal Classification (ASJC) codes
- Microbiology (medical)
- Infectious Diseases
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Impact of liver cirrhosis on mortality in patients with community-acquired bacteremia. / Chen, Shey Ying; Tsai, Chu Lin; Lin, Chien Hao; Lee, Chien Chang; Chiang, Wen Chu; Wang, Jiun-Ling; Ma, Matthew Huei Ming; Chen, Shyr Chyr; Chen, Wen Jone; Chang, Shan Chwen.
In: Diagnostic Microbiology and Infectious Disease, Vol. 64, No. 2, 01.06.2009, p. 124-130.Research output: Contribution to journal › Article
TY - JOUR
T1 - Impact of liver cirrhosis on mortality in patients with community-acquired bacteremia
AU - Chen, Shey Ying
AU - Tsai, Chu Lin
AU - Lin, Chien Hao
AU - Lee, Chien Chang
AU - Chiang, Wen Chu
AU - Wang, Jiun-Ling
AU - Ma, Matthew Huei Ming
AU - Chen, Shyr Chyr
AU - Chen, Wen Jone
AU - Chang, Shan Chwen
PY - 2009/6/1
Y1 - 2009/6/1
N2 - Few studies have analyzed the impact of liver cirrhosis, a clinically significant comorbid medical condition, on the mortality of patients with community-acquired bacteremia. We conducted an observational study of 839 consecutive community-acquired bacteremia patients who were hospitalized through the emergency department (ED). We compared the 30-day mortality of bacteremia patients with and without liver cirrhosis using Cox proportional hazards regression. The probability of survival at day 30 was significantly different for the cirrhotic and noncirrhotic groups (53% versus 82%, respectively; P < 0.001 by the log-rank test). Multivariate analysis indicated that liver cirrhosis was associated with an increased risk of short-term mortality (hazard ratio, 2.0; 95% confidence interval, 1.1-3.5), as well as age, higher comorbidity index, and markers obtained from clinical presentation at ED. In conclusion, in addition to the effects from other prognostic factors, liver cirrhosis has a significant impact on the mortality of patients with community-acquired bacteremia.
AB - Few studies have analyzed the impact of liver cirrhosis, a clinically significant comorbid medical condition, on the mortality of patients with community-acquired bacteremia. We conducted an observational study of 839 consecutive community-acquired bacteremia patients who were hospitalized through the emergency department (ED). We compared the 30-day mortality of bacteremia patients with and without liver cirrhosis using Cox proportional hazards regression. The probability of survival at day 30 was significantly different for the cirrhotic and noncirrhotic groups (53% versus 82%, respectively; P < 0.001 by the log-rank test). Multivariate analysis indicated that liver cirrhosis was associated with an increased risk of short-term mortality (hazard ratio, 2.0; 95% confidence interval, 1.1-3.5), as well as age, higher comorbidity index, and markers obtained from clinical presentation at ED. In conclusion, in addition to the effects from other prognostic factors, liver cirrhosis has a significant impact on the mortality of patients with community-acquired bacteremia.
UR - http://www.scopus.com/inward/record.url?scp=67349228435&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=67349228435&partnerID=8YFLogxK
U2 - 10.1016/j.diagmicrobio.2009.01.008
DO - 10.1016/j.diagmicrobio.2009.01.008
M3 - Article
VL - 64
SP - 124
EP - 130
JO - Diagnostic Microbiology and Infectious Disease
JF - Diagnostic Microbiology and Infectious Disease
SN - 0732-8893
IS - 2
ER -