ArticleBMC infectious diseases2020
Effect of diabetes mellitus on short-term prognosis of 227 pyogenic liver abscess patients after hospitalization.
Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Prognostic Factors for Mortality in Patients with Pyogenic Liver Abscess: A Systematic Review and Meta-Analysis.International journal of medical sciences · 2026Pooled it
- Article
- Clinical Relevance and Utility of Serum APOC2 Levels in Patients with Type 2 Diabetes Mellitus: A Comparative Study on Subjects with and without Pyogenic Liver Abscess.Hepatic medicine : evidence and research · 2026Article
- Optimal timing of pyogenic liver abscess evacuation: The role of early ultrasound-guided intervention.World journal of gastrointestinal surgery · 2025Article
- Clinical Characteristics and Risk Factors for Blood Culture-Positive Klebsiella pneumoniae Liver Abscess: A Retrospective Study.International medical case reports journal · 2025Article
- Liver abscess and splenic infarction due to Yersinia pseudotuberculosis bloodstream infection: a case report.BMC infectious diseases · 2024Article
- Development and validation of a nomogram for predicting sepsis in patients with pyogenic liver abscess.Scientific reports · 2023Article
- Clinical manifestations, diagnosis, treatment, and outcome of pyogenic liver abscess: a retrospective study.The Journal of international medical research · 2023Article
- Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials.Annals of translational medicine · 2023Article
- Risk factors indicating the need for surgical therapy in patients with pyogenic liver abscesses.Langenbeck's archives of surgery · 2023Article
- Changes in clinical and CT manifestations related to liver abscesses in patients with vs. without basic diabetes mellitus before and after CT-guided interventional therapy: An observational study.Clinics (Sao Paulo, Brazil) · 2023Observational
- Evaluation of the Diagnostic Performance of mNGS in Detecting Intra-Abdominal Infections of the Emergency Department Patients.Infection and drug resistance · 2023Article
- Early percutaneous catheter drainage in protecting against prolonged fever among patients with pyogenic liver abscess: a retrospective cohort study.Annals of medicine · 2022Article
- Double pigtail tube drainage for large multiloculated pyogenic liver abscesses.Frontiers in surgery · 2022Article
- Multidisciplinary out-patient treatment with monitoring by telemedicine for a large-volume multifocal pyogenic liver abscess in times of the pandemic.Clinical case reports · 2021Article
- Maximal diameter of liver abscess independently predicts prolonged hospitalization and poor prognosis in patients with pyogenic liver abscess.BMC infectious diseases · 2021Article
- Risk Factors for 28-Day Mortality in a Surgical ICU: A Retrospective Analysis of 347 Cases.Risk management and healthcare policy · 2021Article
- Clinical Significance of Serum Albumin/Globulin Ratio in Patients With Pyogenic Liver Abscess.Frontiers in surgery · 2021Article
- Article
- HepaticCase reports in oncologyArticle
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPyogenic liver abscess (PLA) is an inflammatory disease with increasing incidence. When it occurs with diabetes mellitus (DM), the risk of recurrence and mortality may increase. However, the effect of DM on the short-term prognosis of PLA patients after hospitalization remained unknown.
methodsTwo hundred twenty-seven PLA patients who received treatment at the First Affiliated Hospital of Xi'an Jiaotong University from January 2011 to January 2018 were retrospectively enrolled. They were divided into two groups as the DM group (n = 61) and the Non-DM group (n = 166). In the DM group, HbA1C level < 7% was considered to be good-control of glycaemia (n = 23). The clinical characteristics and overall short-term survival were analyzed.
resultsThe proportion of PLA patients with DM was 26.87%. In the DM group, there was a higher incidence of hypertension and Candida spp. infection. Conservative administration and percutaneous drainage were mainly used in patients with good- (60.87%) and poor-control (60.53%) of glycaemia, respectively. During follow-up, 24 (10.57%) died due to uncontrolled systemic infections and other serious complications. Compared with PLA patients without DM, patients in the DM group had significantly increased 6-month mortality rate after discharge (Log-Rank test, P = 0.021). Poor-control of glycaemia did not reduce the six-month survival, while the recurrence rate of PLA within 3 months showed an almost 3-fold increase (13.16% vs. 4.35%). Further multivariate analyses found that DM was the only independent risk factor for the PLA six-month survival (odds ratio [OR]: 3.019, 95% confidence interval [CI]: 1.138-8.010, P = 0.026). However, the blood glucose level had no significant effect on the short-term survival of PLA patients with DM (Log-Rank test, P = 0.218).
conclusionsIn PLA patients, DM aggravated short-term mortality and blood glucose levels should be well controlled.
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