PYOGENIC LIVER-ABSCESS - MULTIVARIATE-ANALYSIS OF RISK-FACTORS

被引:50
作者
LEE, KT
SHEEN, PC
CHEN, JS
KER, CG
MIEDEMA, BW
机构
[1] UNIV MISSOURI HOSP,DEPT SURG,COLUMBIA,MO
[2] UNIV MISSOURI CLIN,DEPT SURG,COLUMBIA,MO
关键词
D O I
10.1007/BF01658732
中图分类号
R61 [外科手术学];
学科分类号
摘要
Seventy-three patients with pyogenic liver abscess during the year 1978-1988 were studied in the Kaohsiung Medical College Hospital. The overall mortality rate was 19.2% in this study. By using univariate analysis, it was revealed that clinical jaundice, pleural effusion, bilobar abscess, profound hypoalbuminemia (< 2.5 g/dl), hyperbilirubinemia (> 2 mg/dl), elevated level of serum AST (> 100 IU/L), alkaline phosphatase (> 150 IU/L), and marked leukocytosis (> 20,000 mm3) were associated with a higher mortality rate. Multivariate stepwise logistic regression analysis detected only 3 factors of marked leukocytosis (> 20,000 mm3), profound hypoalbuminemia (< 2.5 g/dl), and presence of pleural effusion with independent significance in predicting mortality. Meanwhile, it was also revealed that the laboratory data could not predict a risk factor to mortality unless they became markedly abnormal.
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页码:372 / 377
页数:6
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