Correlations of three scoring systems with the prognosis of patients with liver cirrhosis complicated with sepsis syndrome  

作　　者：Li-Nan Liu Yu-Fei Chang Hui Wang 

机构地区：[1]Department of Emergency,Beijing Ditan Hospital Capital Medical University,Beijing 100102,China

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期150-160,共11页世界胃肠外科杂志(英文)

摘　　要：BACKGROUND Severe symptoms associated with sepsis syndrome(SS)are considered a severe threat,which not only increases therapeutic difficulty but also causes a prognostic mortality rate.However,at present,few related studies focused on the application of different score scales for disease and prognosis assessment in liver cirrhosis(LC)complicated with SS.AIM To determine the correlations of the model for end-stage liver disease(MELD),sequential organ failure assessment(SOFA),and modified early warning score(MEWS)points with the prognosis of patients with LC complicated with SS.METHODS This retrospective analysis included 426 LC cases from February 2019 to April 2022.Of them,225 cases that were complicated with SS were assigned to the LC+SS group,and 201 simple LC cases were included in the LC group.Intergroup differences in MELD,SOFA,and MEWS scores were compared,as well as their diagnostic value for LC+SS.The correlations of the three scores with the progno-sis of patients with LC+SS were further analyzed,as well as the related risk factors affecting patients’outcomes,after the follow-up investigation.RESULTS MELD,SOFA,and MEWS scores were all higher in the LC+SS group vs the LC group,and their combined assessment for LC+SS revealed a diagnostic sensi-tivity and a specificity of 89.66%and 90.84%,respectively(P<0.05).The LC+SS group reported 58 deaths,with an overall mortality rate of 25.78%.Deceased pa-tients presented higher MELD,SOFA,and MEWS points than those who survived(P<0.05).MELD,SOFA,and MEWS scores were determined by COX analysis as factors independently affecting the prognosis of patients with LC+SS(P<0.05).CONCLUSION MELD,SOFA,and MEWS effectively diagnosed LC in patients complicated with SS,and they demonstrated great significance in assessing prognosis,which provides a reliable prognosis guarantee for patients with LC+SS.However,their assessment effects remain limited,which is worthy of further investigation by more in-depth and rigorous experimental analysis.

关 键 词：Model for end-stage liver disease Sequential organ failure assessment Modified early warning score CIRRHOSIS Sepsis syndrome 

分 类 号：R57[医药卫生—消化系统]