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Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia

BACKGROUND: The present study was undertaken to evaluate the association between liver injury and clinical parameters, outcomes and length of stay (LOS) in hospital in children with community-acquired pneumonia (CAP). METHODS: Clinical data and laboratory indicators of 2,573 children with CAP were a...

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Autores principales: Zhang, Lianyu, Zhao, Shuai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Makerere Medical School 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9993292/
https://www.ncbi.nlm.nih.gov/pubmed/36910412
http://dx.doi.org/10.4314/ahs.v22i3.62
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author Zhang, Lianyu
Zhao, Shuai
author_facet Zhang, Lianyu
Zhao, Shuai
author_sort Zhang, Lianyu
collection PubMed
description BACKGROUND: The present study was undertaken to evaluate the association between liver injury and clinical parameters, outcomes and length of stay (LOS) in hospital in children with community-acquired pneumonia (CAP). METHODS: Clinical data and laboratory indicators of 2,573 children with CAP were analyzed. The association between liver injury and clinical parameters, outcomes and LOS was then analyzed. RESULTS: Higher liver injury class was associated with higher incidence of severe CAP, comorbidities, hypoxia, requirement for mechanical ventilation, 30-day mortality and intensive care unit admission, and higher indicators of inflammation (C-reactive protein, procalcitonin and white blood cell count), longer LOS, faster respiratory rate and pulse rate, and lower age, serum albumin levels, monocyte and lymphocyte counts. Severe liver injury was identified as an independent factor for 30-day mortality and prolonged LOS in children with CAP. Higher liver injury class was associated with a lower cumulative survival rate (p=0.0004), and log-rank test for trend was used to demonstrate the association of each injury class with 30-day mortality (p=0.0002). CONCLUSIONS: Several parameters were associated with liver injury in children with CAP. Severe liver injury was found to be an independent factor for 30-day mortality and LOS in children with CAP.
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spelling pubmed-99932922023-03-09 Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia Zhang, Lianyu Zhao, Shuai Afr Health Sci Articles BACKGROUND: The present study was undertaken to evaluate the association between liver injury and clinical parameters, outcomes and length of stay (LOS) in hospital in children with community-acquired pneumonia (CAP). METHODS: Clinical data and laboratory indicators of 2,573 children with CAP were analyzed. The association between liver injury and clinical parameters, outcomes and LOS was then analyzed. RESULTS: Higher liver injury class was associated with higher incidence of severe CAP, comorbidities, hypoxia, requirement for mechanical ventilation, 30-day mortality and intensive care unit admission, and higher indicators of inflammation (C-reactive protein, procalcitonin and white blood cell count), longer LOS, faster respiratory rate and pulse rate, and lower age, serum albumin levels, monocyte and lymphocyte counts. Severe liver injury was identified as an independent factor for 30-day mortality and prolonged LOS in children with CAP. Higher liver injury class was associated with a lower cumulative survival rate (p=0.0004), and log-rank test for trend was used to demonstrate the association of each injury class with 30-day mortality (p=0.0002). CONCLUSIONS: Several parameters were associated with liver injury in children with CAP. Severe liver injury was found to be an independent factor for 30-day mortality and LOS in children with CAP. Makerere Medical School 2022-09 /pmc/articles/PMC9993292/ /pubmed/36910412 http://dx.doi.org/10.4314/ahs.v22i3.62 Text en © 2022 Zhang L et al. https://creativecommons.org/licenses/by/4.0/Licensee African Health Sciences. This is an Open Access article distributed under the terms of the Creative commons Attribution License (https://creativecommons.org/licenses/BY/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Articles
Zhang, Lianyu
Zhao, Shuai
Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
title Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
title_full Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
title_fullStr Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
title_full_unstemmed Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
title_short Severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
title_sort severe liver injury affects the outcomes and length of hospital stay in children with community-acquired pneumonia
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9993292/
https://www.ncbi.nlm.nih.gov/pubmed/36910412
http://dx.doi.org/10.4314/ahs.v22i3.62
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