Cirrhosis, Septic Shock
Conditions
Brief summary
Cirrhotic patients have a poor outcome in intensive care unit (ICU). Septic shock is a leading cause of ICU admission and death in this specific population. We performed a monocentric retrospective study; all cirrhotic patients admitted in the ICU with septic shock from 2002 to 2013 were included. The aim of the study was to identify prognostic factors for both short- and long-term mortality in these patients. Demographic, clinical and biological data, organ supports, and outcomes were collected. Univariate and multivariate analysis were carried out regarding both ICU and one-year mortality.
Interventions
Data were collected regarding medical background, medical condition and management, both at admission and during the ICU stay. These included demographics, clinical, biological and therapeutic data. Outcome at ICU discharge and at one year were also recorded.
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18 or older * diagnosis of cirrhosis * diagnosis of septic shock at ICU admission
Exclusion criteria
* prior liver transplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short-term outcome: analysis of independent predictors of ICU mortality rate. | Between ICU admission (from January 2002 to December 2013) and ICU discharge | The predictors assessed independently are the clinical data, site of infection, biological data, liver scoring systems, organ failure, organ support and simplified acute physiology score (SAPS II), expressed in percentage of patients. The mortality rate is expressed in percentage of patients. |
| Long-term outcome: analysis of independent predictors of one-year mortality rate. | At one year after ICU admission (from January 2002 to December 2013) | The predictors assessed independently are the independent predictors found to be related to the short-term mortality rate, expressed in percentage of patients. The mortality rate is expressed in percentage of patients. |
Countries
France