Evidence map›Paper›PMID 29749322›Full record

ArticleThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2018

Bacteremia in cirrhotic patients with upper gastrointestinal bleeding.

Hsin-An Shih, Pei-Chuan Tsai, Kai-Hsiang Wu, Yi-Ting Chen, Yi-Chuan Chen

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In one paragraph

Article in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Hsin-An ShihDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi County, Taiwan.
Pei-Chuan TsaiDepartment of Emergency, Taichung Tzu Chi Hospital, Taichung City, Taiwan.
Kai-Hsiang WuDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi County, Taiwan.
Yi-Ting ChenDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua County, Taiwan.
Yi-Chuan ChenDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi County, Taiwan; Department of Nursing, Chang Gung University of Science and Technology, Chiayi County, Taiwan.
Chiayi Chang Gung Memorial Hospital · TWTaichung Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsIncreased risk of bacterial infection is common in cirrhotic patients with upper gastrointestinal bleeding (UGIB). Our study aimed to explore the association of the bacteremia with in-hospital mortality and risk factors of bacteremia in these patients. MATERIALS AND

methodsIn our retrospective cohort study, we collected data for cirrhotic patients with UGIB admitted to our hospital between August 2010 and December 2010. The primary outcome was in-hospital mortality. The secondary outcome was bacteremia. A multivariate logistic regression analysis was performed to determine risk factors for mortality and bacteremia.

resultsA total of 202 patients with cirrhosis presenting with UGIB at the emergency department (ED) were enrolled. Bacteremia was associated with a higher mortality rate (adjusted odds ratio [OR]: 9.7; 95% confidence interval [CI]: 1.9-50.6, p=0.007), whereas shock (systolic blood pressure <90 mmHg at ED triage) and bandemia (>0% immature neutrophils of band form) were associated with bacteremia in cirrhotic patients with UGIB (adjusted OR: 5.3; 95% CI: 2.3-12.7, p<0.0001 and adjusted OR: 4.0; 95% CI: 1.6-9.9, p=0.0003, respectively).

conclusionBacteremia in cirrhotic patients with UGIB is one of the major risk factors leading to in-hospital mortality. On the basis of our findings, prevention of bacteremia in cirrhotic patients with UGIB, especially in those with shock and bandemia, is important; thus, adequate antibiotic treatment is suggested.

Indexed as

Hospital MortalityAgedEmergency Service, HospitalFemaleGastrointestinal HemorrhageHemorrhagic SepticemiaHumansLiver CirrhosisMaleMiddle AgedOdds RatioRetrospective StudiesRisk Factors

Identifiers

PMID29749322
PMCPMC6284712
OpenAlexW2789611948

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.