Usefulness of procalcitonin for diagnosing infection in critically ill patients with liver cirrhosis
| Autor: | E, Villarreal, K, Vacacela, M, Gordon, C, Calabuig, R, Alonso, J, Ruiz, P, Kot, D, Babiloni, P, Ramírez |
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| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | MEDICINA INTENSIVA r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 0210-5691 |
| Popis: | Objective: To evaluate the usefulness of procalcitonin (PCT) for diagnosing infection in patients with liver cirrhosis admitted to an Intensive Care Unit. Design: A retrospective study was carried out. Scope: Intensive Care Unit. Versatile, twenty-four beds. Participants Patients with liver cirrhosis admitted to our Intensive Care Unit in the last four years with suspected infection and measurement of PCT. Results: Among the 255 patients with cirrhosis admitted to our unit, PCT was determined for the differential diagnosis of infection in 69 cases (27%). Three patients were excluded from analysis due to a lack of clinical data. The average stay was 10.6 +/- 9.2 days, with a mortality rate of 65%. The origin of cirrhosis was mainly viral (57%) or alcoholic (37%). The Child-Pugh and MELD scores were 9.5 +/- 2 and 23 +/- 1 8, respectively. Infection was diagnosed in 54 patients (82%). The most common infection was pneumonia (72%), followed by intraabdominal infections (18%) and bacteremia (5%). In patients without infection, the median PCT concentration was 0.57 ng/ml (range 0.28 to 1.14) versus 2.99 (1.31 to 9.4) in those with infection (p |
| Databáze: | OpenAIRE |
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