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    題名: The Long-Term Mortality of Spontaneous Bacterial Peritonitis in Cirrhotic Patients: A 3-year Nationwide Cohort Study
    作者: Tsung-Hsing Hung;Chen-Chi Tsai;Yu-Hsi Hsieh;Chih-Chun Tsai
    關鍵詞: Cirrhosis;spontaneous bacterial peritonitis;ascites
    日期: 2015/03/07
    上傳時間: 2016-04-22 13:11:13 (UTC+8)
    摘要: BACKGROUND/AIMS:
    There is no nationwide population-based study for the long-term mortality after single episode of spontaneous bacterial peritonitis (SBP) in cirrhotic patients. Our study showed the short-term and long-term mortalities, and identified the mortality risk of SBP.
    MATERIALS AND METHODS:
    The National Health Insurance Database, derived from the Taiwan National Health Insurance program, was used to collect data from 16,992 cirrhotic patients. These cirrhotic patients were classified into three groups: SBP group (n=451, 2.7%), ascites without SBP group (n=2,564, 15.1%), and non-ascites (n=13,977, 82.3%) group. Each patient was followed up to 3 years after the initial hospitalization.
    RESULTS:
    The 30-day mortalities in SBP, ascites without SBP, and non-ascites groups were 24.2%, 14.1%, and 8.1%, respectively. The 3-year mortalities in SBP, ascites without SBP, and non-ascites groups were 66.5%, 61.1%, and 41.5%. After Cox's regression analysis adjusted by the patients' age, gender, and underlying medical disorders, the SBP patients (hazard ratio=2.52) and ascites without SBP patients (hazard ratio=1.91) have higher risk for 3-year mortality than those without ascites.
    CONCLUSION:
    Cirrhotic patients with SBP have a 2.5-fold increase of 3-year mortality, compared to those without ascites.
    關聯: Turk J Gastroenterol 26(2), p.159-162
    DOI: 10.5152/tjg.2015.4829
    顯示於類別:[數學學系暨研究所] 期刊論文

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