Systematically analysis of decompensated cirrhotic patients with spontaneous bacterial peritonitis to identify diagnostic and prognostic indexes

Bibliographic Details
Title: Systematically analysis of decompensated cirrhotic patients with spontaneous bacterial peritonitis to identify diagnostic and prognostic indexes
Authors: Tao Du, Qing-ping Li, Gui-xiang Jiang, Hui-yuan Tan, Jiao-hua Wu, Shan-yu Qin, Bing Yu, Hai-xing Jiang, Wei Luo
Source: BMC Infectious Diseases, Vol 23, Iss 1, Pp 1-11 (2023)
Publisher Information: BMC, 2023.
Publication Year: 2023
Collection: LCC:Infectious and parasitic diseases
Subject Terms: Cirrhosis, Spontaneous bacterial peritonitis, Laboratory test indexes, Predictive value, Prognosis analysis, Infectious and parasitic diseases, RC109-216
More Details: Abstract Background Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis. The diagnosis of SBP is still mostly based on ascites cultures and absolute ascites polymorphonuclear (PMN) cell count, which restricts the widely application in clinical settings. This study aimed to identify reliable and easy-to-use biomarkers for both diagnosis and prognosis of cirrhotic patients with SBP. Methods We conducted a retrospective study including 413 cirrhotic patients from March 2013 to July 2022 in the First Affiliated Hospital of Guangxi Medical University. Patients’ clinical characteristics and laboratory indices were collected and analyzed. Two machine learning methods (Xgboost and LASSO algorithms) and a logistic regression analysis were adopted to screen and validate the indices associated with the risk of SBP. A predictive model was constructed and validated using the estimated area under curve (AUC). The indices related to the survival of cirrhotic patients were also analyzed. Results A total of 413 cirrhotic patients were enrolled in the study, of whom 329 were decompensated and 84 were compensated. 52 patients complicated and patients with SBP had a poorer Child–Pugh score (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2334
Relation: https://doaj.org/toc/1471-2334
DOI: 10.1186/s12879-023-08731-w
Access URL: https://doaj.org/article/e2aaa15045664808ad2eb9c5bbaea031
Accession Number: edsdoj.2aaa15045664808ad2eb9c5bbaea031
Database: Directory of Open Access Journals
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More Details
ISSN:14712334
DOI:10.1186/s12879-023-08731-w
Published in:BMC Infectious Diseases
Language:English