P-13 COMPARISON OFF DIFFERENT PROGNOSTIC SCORES FOR PATIENTS WITH CIRRHOSIS HOSPITALIZED WITH SARS – COV 2 INFECTION

Viral infections have been described to increase the risk of decompensation in patients with cirrhosis. We aimed to determine the impact of SARS-CoV-2 infection on clinical outcome of hospitalized patients with cirrhosis and to compare the performance of different prognostic models for predicting mo...

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Veröffentlicht in:Annals of hepatology 2021-09, Vol.24, p.100379-100379, Article 100379
Hauptverfasser: Mendizabal, Manuel, Ridruejo, Ezequiel, Piñero, Federico, Anders, Margarita, Padilla, Martín, Toro, Luis G., Torre, Aldo, Montes, Pedro, Urzúa, Alvaro, Gonzalez Ballerga, Esteban, Silveyra, María Dolores, Michelato, Douglas, Díaz, Javier, Peralta, Mirta, Pages, Josefina, Ruiz García, Sandro, Gutierrez Lozano, Isabel, Macias, Yuridia, Cocozzella, Daniel, Chavez-Tapia, Norberto, Tagle, Martín, Dominguez, Alejandra, Varón, Adriana, Vera Pozo, Emilia, Higuera-de la Tijera, Fátima, Bustios, Carla, Conte, Damiá, Escajadillo, Nataly, Gómez, Andrés J, Tenorio, Laura, Castillo Barradas, Mauricio, Schinoni, Maria Isabel, Bessone, Fernando, Contreras, Fernando, Nazal, Leyla, Sanchez, Abel, García, Matías, Brutti, Julia, Cabrera, María Cecilia, Miranda-Zazueta, Godolfino, Rojas, German, Cattaneo, Maximo, Castro-Narro, Graciela, Rubinstein, Fernando, Silva, Marcelo O.
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Sprache:eng
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Zusammenfassung:Viral infections have been described to increase the risk of decompensation in patients with cirrhosis. We aimed to determine the impact of SARS-CoV-2 infection on clinical outcome of hospitalized patients with cirrhosis and to compare the performance of different prognostic models for predicting mortality. We performed a prospective cohort study including 2211 hospitalized patients with confirmed SARS-CoV-2 infection from April 15, 2020 through October 1, 2020 in 38 Hospitals from 11 Latin American countries. We registered clinical and laboratory parameters of patients with and without cirrhosis. All patients were followed until discharge or death. We evaluated the prognostic performance of different scoring systems to predict mortality in patients with cirrhosis using ROC curves. Overall, 4.6%(CI 3.7-5.6) subjects had cirrhosis (n=96). Baseline Child-Turcotte-Pugh (CTP) class was assessed: CTP-A (23%), CTP-B (45%) and CTP-C (32%); median MELD-Na score was 19 (IQR 14-25). Mortality was 47% in patients with cirrhosis compared to 16% in those without cirrhosis (P
ISSN:1665-2681
2659-5982
1665-2681
DOI:10.1016/j.aohep.2021.100379