Quick sequential organ failure assessment in cirrhosis

Materials and methods: Retrospective descriptive study including all cirrhotic patients admitted for bacterial infection to the Gastro-Hepato-enterology B Department La Rabta over a period of 5 years. The qSOFA score was calculated retrospectively for each patient on the basis of clinical parameters collected on admission. Mortality and complications were studied over a 12-month follow-up period. Patients who were lost to follow-up and whose records could not be analysed were excluded. Similarly cirrhotic patients who presented a second episode of bacterial infection or a complication such as HDH and/or SHR and/or HCC during the study period were excluded. Results: 61 patients were enrolled. The mean age was 63±12 years with a sex ratio of 0.65. Viral etiology of cirrhosis (HCV or HBV) was the predominant etiology (63.9%). The majority of patients were classified as CHILD C (50.8%) and 45.9% had a MELD > 15. UTI (42.6%) and LAI (21.3%) were the most frequent infections. BGN represented 81.3% of the germs isolated (Escherichia coli 53.1%).