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Chen et al identified risk factors for death in patients requiring intensive care related to a pyogenic liver abscess. These can help to identify a patient who may benefit from more aggressive management. The authors are from China Medical University Hospital in Taichung, Taiwan.


 

Patient selection: adults >= 18 years of age admitted to the ICU because of a pyogenic liver abscess

 

Independent poor prognostic factors present on the first day of ICU admission (identified on multivariate logistic regression analysis):

(1) APACHE II score > 16

(2) acute respiratory failure

 

Additional findings seen in nonsurvivors indicative of multi-organ failure:

(1) acute renal failure

(2) longer prothrombin time (PT)

(3) septic shock

 

Other findings:

(1) inadequate antibiotic therapy

 


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