Evidence map›Paper›PMID 39695967›Full record

ArticleBMC infectious diseases2024

Bacterial infection adversely increases the risk of decompensation in patients with hepatitis B virus-related compensated cirrhosis: a retrospective study.

Yinglun Li, Bin Niu, Jing Liu, Hui Zhou, Ze Chen, Yibing Zhou, Qian Wei, Xue Jiao, Yuqiang Mi, Ping Li

Abstract read
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Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yinglun Li *Clinical School of the Second People's Hospital, Tianjin Medical University, Tianjin, China.ORCID http://orcid.org/0000-0002-5190-3563
Bin Niu *Department of Infectious Diseases, First Hospital of Shanxi Medical University, Taiyuan, China.
Jing Liu *Clinical School of the Second People's Hospital, Tianjin Medical University, Tianjin, China.ORCID http://orcid.org/0000-0002-5418-8550
Hui ZhouDepartment of Infectious Diseases, Xiangya Hospital, Central South University, Changsha, China.ORCID http://orcid.org/0000-0002-3839-0652
Ze ChenClinical School of the Second People's Hospital, Tianjin Medical University, Tianjin, China.ORCID http://orcid.org/0000-0003-4688-422X
Yibing ZhouDepartment of Scientific Research, Central Laboratory, Changshu Hospital Affiliated to Soochow University, Changshu No.1 People's Hospital, Changshu, 215500, China.
Qian WeiClinical School of the Second People's Hospital, Tianjin Medical University, Tianjin, China.
Xue JiaoDepartment of Hepatology, Tianjin Second People's Hospital, Tianjin, China.ORCID http://orcid.org/0000-0003-1057-1192
Yuqiang MiDepartment of Hepatology, Tianjin Second People's Hospital, Tianjin, China.ORCID http://orcid.org/0000-0001-9930-6429
Ping LiDepartment of Hepatology, Tianjin Second People's Hospital, Tianjin, China. tjlp2023@163.com.

Funding

Tianjin Key Medical Discipline (Specialty) Construction Project TJYXZDXK-059B
6 · The paper itself

Abstract

backgroundHepatitis B virus related compensated cirrhosis generally has a favorable prognosis until decompensation occurs. Bacterial infections are prevalent in Hepatitis B virus related decompensated cirrhosis.Bacterial infection and decompensated hepatitis B cirrhosis are mutually reinforcing. And it also interacts with and promotes certain decompensation-related events. However, the impact of bacterial infections on the progression from compensated to decompensated cirrhosis in Hepatitis B patients remains unclear.

methodsWe retrospectively analyzed the baseline characteristics of 1,011 patients with Hepatitis B virus related compensated cirrhosis. Using time-dependent regression analysis, we evaluated whether bacterial infections increase the risk of decompensation, defined as the occurrence of ascites, hepatic encephalopathy, or variceal bleeding.

resultsA total of 1,011 patients were retrospectively analyzed over a median follow-up period of 79 months. Bacterial infections were observed in 89 patients (8.8%). Respiratory and urinary tract infections were the most common bacterial infections.Decompensation occurred in 44.9% of patients with bacterial infections, compared to 9% of those without BIs. Patients with bacterial infections had a higher risk of decompensation ([OR] 1.024; 95% CI 1.016-1.032; p < 0.001) than those without bacterial infections.

conclusionOur findings suggest that bacterial infections have a significant impact on the progression of hepatitis B virus related compensated cirrhosis, notably increasing the risk of decompensation.

Indexed as

Bacterial InfectionsLiver CirrhosisAdultAgedAscitesDisease ProgressionFemaleHepatic EncephalopathyHepatitis BHepatitis B, ChronicHepatitis B virusHumansMaleMiddle AgedRetrospective StudiesRisk FactorsBacterial infectionCompensated cirrhosisDecompensated cirrhosisDiagnosisHepatitis B virusProgressionRisk factor

Identifiers

PMID39695967
PMCPMC11657233

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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.