Research Article

Systemic Inflammatory Response Syndrome in Patients Hospitalized for Acute Decompensation of Cirrhosis

Table 1

Characteristics of included patients and comparison according to the presence of SIRS.

All (n = 543)SIRS absent (n = 311)SIRS present (n = 232)

Age (years), mean ± SD55.4 ± 12.756.1 ± 12.354.4 ± 13.00.133
Male gender, (%)64.564.065.10.791
Diabetes, (%)40.944.137.40.196
Beta-blockers, (%)44.750.237.30.003

Etiology of cirrhosis (%)
 Hepatitis C40.138.642.20.390
 Hepatitis B Alc5.46.14.30.362
 Alcohol47.143.452.20.043
 Autoimmune hepatitis3.74.23.00.477
 Others21.420.922.00.761

Complication at admission (%)
 Ascites60.258.862.10.257
 Hepatic encephalopathy45.039.752.20.004
 Gastrointestinal bleeding28.524.833.60.024
 Bacterial infection (%)47.336.062.5<0.001

Laboratory data
 Sodium (mEq/L), mean ± SD134.6 ± 5.8135.1 ± 5.4134.0 ± 6.280.032
 Albumin (g/dL), mean ± SD2.4 ± 0.62.5 ± 0.62.3 ± 0.60.029
 INR, median1.51.41.50.029
 Total bilirubin (mg/dL), median2.11.92.50.038
 Creatinine (mg/dL), median1.11.01.20.004
 Leukocyte count (x109), median6.406.276.900.191
 CRP (mg/L), median7.36.339.1<0.001
 MELD score, mean ± SD17.2 ± 7.016.3 ± 6.018.5 ± 7.9<0.001
 ACLF (%)26.320.733.90.001

Child-Pugh classification
 A7.07.36.60.757
 B50.055.742.50.003
 C43.037.050.90.001
 MAP (mmHg), mean ± SD86.4 ± 15.486.8 ± 15.786.0 ± 15.00.552

SIRS = systemic inflammatory response syndrome; SD = standard deviation; INR = international normalised ratio; CRP = C-reactive protein; MELD = Model for End-Stage Liver Disease; ACFL = acute-on-chronic liver failure; MAP = mean arterial pressure.