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West Ashley Library
9 a.m. - 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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Phone: (843) 883-3914
Wando Mount Pleasant Library
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Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Otranto Road Library
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9 a.m. - 8 p.m.
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McClellanville Library
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Keith Summey North Charleston Library
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Hurd/St. Andrews Library
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Phone: (843) 722-7550
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Phone: (843) 805-6930
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The usefulness of C-reactive protein and neutrophil-to-lymphocyte ratio for predicting the outcome in hospitalized patients with liver cirrhosis.
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- Author(s): Jung Hyun Kwon1; Jeong Won Jang2 ; Young Woon Kim1; Sung Won Lee3; Soon Woo Nam1; Dongwook Jaegal4; Seungok Lee4; Si Hyun Bae1; Kwon, Jung Hyun1; Jang, Jeong Won2; Kim, Young Woon1; Lee, Sung Won3; Nam, Soon Woo1; Jaegal, Dongwook4; Lee, Seungok4; Bae, Si Hyun2
- Source:
BMC Gastroenterology. 10/23/2015, Vol. 15, p1-7. 7p. 3 Charts, 1 Graph.- Subject Terms:
*TREATMENT of cirrhosis of the liver; *C-reactive protein; *NEUTROPHILS; *LYMPHOCYTES; *HOSPITAL patients; *HEALTH outcome assessment; *DIAGNOSIS of bacterial diseases; *BACTERIAL diseases; *COMPARATIVE studies; *HEPATIC encephalopathy; *HOSPITAL care; *CIRRHOSIS of the liver; *RESEARCH methodology; *MEDICAL cooperation; *PROGNOSIS; *RESEARCH; *EVALUATION research; *PREDICTIVE tests; *RETROSPECTIVE studies; *SEVERITY of illness index; *LEUKOCYTE count; *ODDS ratio; *SYSTEMIC inflammatory response syndrome; *DISEASE complications - Source:
- Additional Information
- Abstract:
Background: The role of clinical parameters such as systemic inflammatory response syndrome (SIRS) criteria in predicting the infection remains unclear in cirrhosis patients. The aim was to evaluate the usefulness of inflammatory markers including C-reactive protein (CRP) and the neutrophil-to-lymphocyte ratio (NLR) for diagnosis of infection and predicting the outcomes in hospitalized cirrhotic patients.Methods: The study included 184 cirrhotic patients consecutively hospitalized from 2011 to 2012. The presence of overt infection and survival was evaluated. CRP concentration, NLR, Model for End-Stage Liver Disease (MELD) score and the presence of SIRS were assessed.Results: The main cause of admission was uncontrolled ascites (36.4 %), followed by varix bleeding (23.9 %), and hepatic encephalopathy (13.6 %). Fifty-eight patients (31.5 %) had overt infection during hospitalization and thirty-two patients (17.4 %) expired during the follow up period (median 38 months). Ninety-two patients (52.2 %) fulfilled the SIRS criteria and among them, only 32 patients (38.5 %) had the overt infection. For diagnose of the infection, baseline CRP concentration was a significant factor compared to the presence of SIRS (odds ratio 1.202, Pā=ā0.003). For predicting one-month short-term survival, MELD score, NLR and WBC count were significant factors but in Child-Pugh class C patients, NLR was only an independent factor.Conclusions: CRP was a significant indicator of infection in hospitalized cirrhotic patients and a NLR was a useful predictor of 1-month survival, particularly in Child-Pugh class C patients. This study suggests that the inflammatory markers such as CRP and NLR can help identify cirrhotic patients at risk of unfavorable outcomes. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of BMC Gastroenterology is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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