Research Article

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

Table 4

Comparison of demographic, clinical, and laboratory data according to 90-day survival among patients with SIRS (n = 232).

Survivors (n = 150)Nonsurvivors (n = 82)HR (95% CI)

Age (years), mean ± SD54.0 ± 13.955.2 ± 11.41.004 (0.988–1.021)0.608
Male gender (%)64.765.91.048 (0.664–1.654)0.842
Diabetes (%)36.938.31.061 (0.630–1.785)0.825
Beta-blockers (%)38.035.90.914 (0.576–1.452)0.704

Complication at admission (%)
 Ascites52.080.52.935 (1.699–5.073)<0.001
 Hepatic encephalopathy36.728.01.576 (1.013–2.451)0.043
 Gastrointestinal bleeding48.059.80.742 (0.458–1.202)0.225
 Bacterial infection, (%)52.081.73.328 (1.900–5.831)<0.001

Laboratory data
 Sodium (mEq/L), mean ± SD135.1 ± 5.8132.2 ± 6.50.945 (0.916–0.976)0.001
 Albumin (g/dL), mean ± SD2.5 ± 0.72.1 ± 0.50.454 (0.322–0.639)<0.001
 INR, median1.41.61.583 (1.294–1.937)<0.001
 Total bilirubin (mg/dL), median2.03.61.069 (1.046–1.092)<0.001
 Creatinine (mg/dL), median1.01.71.265 (1.161–1.379)<0.001
 Leukocyte count (x109), median6.079.031.049 (1.024–1.075)<0.001
 CRP (mg/L), median8.514.91.005 (1.002–1.008)0.002

MELD score, mean ± SD15.8 ± 6.023.3 ± 8.41.094 (1.070–1.120)<0.001
ACLF (%)19.659.84.176 (2.679–6.512)<0.001
Child-pugh C (%)37.574.43.604 (2.192–5.924)<0.001
MAP (mmHg), mean ± SD85.7 ± 14.584.6 ± 16.80.995 (0.981–1.010)0.526

SIRS = systemic inflammatory response syndrome; HR = hazard ratio; 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.