Unknown

Dataset Information

0

Systemic inflammatory response and serum lipopolysaccharide levels predict multiple organ failure and death in alcoholic hepatitis.


ABSTRACT: Alcoholic hepatitis (AH) frequently progresses to multiple organ failure (MOF) and death. However, the driving factors are largely unknown. At admission, patients with AH often show criteria of systemic inflammatory response syndrome (SIRS) even in the absence of an infection. We hypothesize that the presence of SIRS may predispose to MOF and death. To test this hypothesis, we studied a cohort including 162 patients with biopsy-proven AH. The presence of SIRS and infections was assessed in all patients, and multivariate analyses identified variables independently associated with MOF and 90-day mortality. At admission, 32 (19.8%) patients were diagnosed with a bacterial infection, while 75 (46.3%) fulfilled SIRS criteria; 58 patients (35.8%) developed MOF during hospitalization. Short-term mortality was significantly higher among patients who developed MOF (62.1% versus 3.8%, P?

SUBMITTER: Michelena J 

PROVIDER: S-EPMC4549175 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature

altmetric image

Publications


<h4>Unlabelled</h4>Alcoholic hepatitis (AH) frequently progresses to multiple organ failure (MOF) and death. However, the driving factors are largely unknown. At admission, patients with AH often show criteria of systemic inflammatory response syndrome (SIRS) even in the absence of an infection. We hypothesize that the presence of SIRS may predispose to MOF and death. To test this hypothesis, we studied a cohort including 162 patients with biopsy-proven AH. The presence of SIRS and infections wa  ...[more]

Similar Datasets

| S-EPMC8089113 | biostudies-literature
| S-EPMC8053725 | biostudies-literature
| S-EPMC2816277 | biostudies-literature
| S-EPMC7327221 | biostudies-literature
| S-EPMC2730016 | biostudies-literature
| S-EPMC10527293 | biostudies-literature
| S-EPMC9119346 | biostudies-literature
| S-EPMC6054564 | biostudies-literature
| S-EPMC8290074 | biostudies-literature
| S-EPMC5560566 | biostudies-other