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 ± SD | 55.4 ± 12.7 | 56.1 ± 12.3 | 54.4 ± 13.0 | 0.133 | Male gender, (%) | 64.5 | 64.0 | 65.1 | 0.791 | Diabetes, (%) | 40.9 | 44.1 | 37.4 | 0.196 | Beta-blockers, (%) | 44.7 | 50.2 | 37.3 | 0.003 |
| Etiology of cirrhosis (%) | | | | | Hepatitis C | 40.1 | 38.6 | 42.2 | 0.390 | Hepatitis B Alc | 5.4 | 6.1 | 4.3 | 0.362 | Alcohol | 47.1 | 43.4 | 52.2 | 0.043 | Autoimmune hepatitis | 3.7 | 4.2 | 3.0 | 0.477 | Others | 21.4 | 20.9 | 22.0 | 0.761 |
| Complication at admission (%) | | | | | Ascites | 60.2 | 58.8 | 62.1 | 0.257 | Hepatic encephalopathy | 45.0 | 39.7 | 52.2 | 0.004 | Gastrointestinal bleeding | 28.5 | 24.8 | 33.6 | 0.024 | Bacterial infection (%) | 47.3 | 36.0 | 62.5 | <0.001 |
| Laboratory data | | | | | Sodium (mEq/L), mean ± SD | 134.6 ± 5.8 | 135.1 ± 5.4 | 134.0 ± 6.28 | 0.032 | Albumin (g/dL), mean ± SD | 2.4 ± 0.6 | 2.5 ± 0.6 | 2.3 ± 0.6 | 0.029 | INR, median | 1.5 | 1.4 | 1.5 | 0.029 | Total bilirubin (mg/dL), median | 2.1 | 1.9 | 2.5 | 0.038 | Creatinine (mg/dL), median | 1.1 | 1.0 | 1.2 | 0.004 | Leukocyte count (x109), median | 6.40 | 6.27 | 6.90 | 0.191 | CRP (mg/L), median | 7.3 | 6.3 | 39.1 | <0.001 | MELD score, mean ± SD | 17.2 ± 7.0 | 16.3 ± 6.0 | 18.5 ± 7.9 | <0.001 | ACLF (%) | 26.3 | 20.7 | 33.9 | 0.001 |
| Child-Pugh classification | | | | | A | 7.0 | 7.3 | 6.6 | 0.757 | B | 50.0 | 55.7 | 42.5 | 0.003 | C | 43.0 | 37.0 | 50.9 | 0.001 | MAP (mmHg), mean ± SD | 86.4 ± 15.4 | 86.8 ± 15.7 | 86.0 ± 15.0 | 0.552 |
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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.
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