Retrospective Investigation of Factors Affecting Mortality in Spontaneous Bacterial Peritonitis.

BACKGROUND

Spontaneous bacterial peritonitis (SBP) is an important reason for mortality in cirrhosis. This study aimed to identify the factors associated with mortality in SBP.

MATERIALS AND METHODS

A total of 69 patients with cirrhosis and 74 with SBP attacks that occurred in this group were assessed. Demographic data, symptoms at admission, comorbidities, laboratory parameters, treatment protocols, causes of cirrhosis, scoring characteristics, cirrhosis complications, and mortality were analyzed.

RESULTS

Model for end-stage liver disease (MELD; = 0.001), sodium-MELD ( = 0.001), and Child-Pugh-Turcotte (CTP) ( < 0.001) scores were correlated with mortality in patients with SBP episodes. Hepatorenal syndrome ( = 0.001) and esophageal variceal bleeding ( < 0.001) related to mortality. Serum lactate dehydrogenase (LDH) ( = 0.007), serum leukocyte ( = 0.017), and serum hemoglobin ( = 0.010) values had a statistically significant effect on mortality in multivariate regression analysis.

DISCUSSION

The mortality rate can be reduced by identifying factors influencing death in patients with SBP episodes.

HOW TO CITE THIS ARTICLE

Ocak T, Gülten M. Retrospective Investigation of Factors Affecting Mortality in Spontaneous Bacterial Peritonitis. Euroasian J Hepato-Gastroenterol 2023;13(1):5-9.