Pneumonia is an independent risk factor for pyogenic liver abscess: A population-based, nested, case-control study
Bacteremic pneumonia is considered a potential cause of distal organ abscess formation. Therefore, we hypothesize that pneumonia is a risk factor for pyogenic liver abscess (PLA).The aim of this study is to explore the association between pneumonia and PLA. A nationwide, population-based, nested, ca...
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| description | Bacteremic pneumonia is considered a potential cause of distal organ abscess formation. Therefore, we hypothesize that pneumonia is a risk factor for pyogenic liver abscess (PLA).The aim of this study is to explore the association between pneumonia and PLA.
A nationwide, population-based, nested, case-control study was conducted using data from the Taiwan National Health Insurance Research Database. In total, 494 patients with PLA and 1,976 propensity score matched controls were enrolled. Conditional logistic regression was used to estimate adjusted odds ratios (aORs) in patients with exposure to pneumonia before PLA. After matched and adjusted for confounding factors including age, sex, urbanization, income, chronic liver disease, alcohol-related disease, biliary stone, chronic kidney disease, diabetes mellitus, chronic liver disease, and cancer, hospitalization for pneumonia remained an independent risk factor for PLA with an aORs of 2.104 [95% confidence interval (CI) = 1.309-3.379, p = 0.0021]. Moreover, the aORs were significantly higher among patients hospitalized for pneumonia within 30 days (aORs = 10.73, 95% CI = 3.381-34.054), 30-90 days (aORs = 4.698, 95% CI = 1.541-14.327) and 90-180 (aORs = 4.000, 95% CI = 1.158-13.817) days before PLA diagnosis.
Pneumonia is an independent risk factor for subsequent PLA. Moreover, hospitalization for pneumonia within 180 days before PLA diagnosis was associated with an increased risk of PLA. |
| doi_str_mv | 10.1371/journal.pone.0178571 |
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A nationwide, population-based, nested, case-control study was conducted using data from the Taiwan National Health Insurance Research Database. In total, 494 patients with PLA and 1,976 propensity score matched controls were enrolled. Conditional logistic regression was used to estimate adjusted odds ratios (aORs) in patients with exposure to pneumonia before PLA. After matched and adjusted for confounding factors including age, sex, urbanization, income, chronic liver disease, alcohol-related disease, biliary stone, chronic kidney disease, diabetes mellitus, chronic liver disease, and cancer, hospitalization for pneumonia remained an independent risk factor for PLA with an aORs of 2.104 [95% confidence interval (CI) = 1.309-3.379, p = 0.0021]. Moreover, the aORs were significantly higher among patients hospitalized for pneumonia within 30 days (aORs = 10.73, 95% CI = 3.381-34.054), 30-90 days (aORs = 4.698, 95% CI = 1.541-14.327) and 90-180 (aORs = 4.000, 95% CI = 1.158-13.817) days before PLA diagnosis.
Pneumonia is an independent risk factor for subsequent PLA. Moreover, hospitalization for pneumonia within 180 days before PLA diagnosis was associated with an increased risk of PLA.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0178571</identifier><identifier>PMID: 28570670</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adjustment ; Adult ; Age ; Aged ; Alcohols ; Antibiotics ; Bacterial infections ; Biology and Life Sciences ; Cancer ; Care and treatment ; Case-Control Studies ; Chronic kidney failure ; Chronic obstructive pulmonary disease ; Complications and side effects ; Data bases ; Diabetes ; Diabetes mellitus ; Diagnosis ; Emergency medical care ; Exposure ; Female ; Health ; Health risks ; Hospitalization ; Hospitals ; Humans ; Income ; Infections ; Infectious diseases ; Insurance ; Kidney transplantation ; Liver ; Liver Abscess, Pyogenic - complications ; Liver cancer ; Liver diseases ; Male ; Medical research ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Mortality ; Multivariate analysis ; Neutrophils ; Pathogens ; Patient outcomes ; Patients ; People and Places ; Phospholipase A ; Pneumonia ; Pneumonia - complications ; Population ; Population studies ; Population-based studies ; Regression ; Risk Factors ; Sex ; Statistical analysis ; Stone ; Studies ; Urbanization</subject><ispartof>PloS one, 2017-06, Vol.12 (6), p.e0178571-e0178571</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Ho et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Ho et al 2017 Ho et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-df5aef45609193fb352d56435a52814d229db62bf55d7886a3d54cc6f3e96c1d3</citedby><cites>FETCH-LOGICAL-c692t-df5aef45609193fb352d56435a52814d229db62bf55d7886a3d54cc6f3e96c1d3</cites><orcidid>0000-0002-3978-5576</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453545/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453545/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28570670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ho, Sai-Wai</creatorcontrib><creatorcontrib>Yeh, Chao-Bin</creatorcontrib><creatorcontrib>Yang, Shun-Fa</creatorcontrib><creatorcontrib>Yeh, Han-Wei</creatorcontrib><creatorcontrib>Huang, Jing-Yang</creatorcontrib><creatorcontrib>Teng, Ying-Hock</creatorcontrib><title>Pneumonia is an independent risk factor for pyogenic liver abscess: A population-based, nested, case-control study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Bacteremic pneumonia is considered a potential cause of distal organ abscess formation. Therefore, we hypothesize that pneumonia is a risk factor for pyogenic liver abscess (PLA).The aim of this study is to explore the association between pneumonia and PLA.
A nationwide, population-based, nested, case-control study was conducted using data from the Taiwan National Health Insurance Research Database. In total, 494 patients with PLA and 1,976 propensity score matched controls were enrolled. Conditional logistic regression was used to estimate adjusted odds ratios (aORs) in patients with exposure to pneumonia before PLA. After matched and adjusted for confounding factors including age, sex, urbanization, income, chronic liver disease, alcohol-related disease, biliary stone, chronic kidney disease, diabetes mellitus, chronic liver disease, and cancer, hospitalization for pneumonia remained an independent risk factor for PLA with an aORs of 2.104 [95% confidence interval (CI) = 1.309-3.379, p = 0.0021]. Moreover, the aORs were significantly higher among patients hospitalized for pneumonia within 30 days (aORs = 10.73, 95% CI = 3.381-34.054), 30-90 days (aORs = 4.698, 95% CI = 1.541-14.327) and 90-180 (aORs = 4.000, 95% CI = 1.158-13.817) days before PLA diagnosis.
Pneumonia is an independent risk factor for subsequent PLA. Moreover, hospitalization for pneumonia within 180 days before PLA diagnosis was associated with an increased risk of PLA.</description><subject>Adjustment</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Alcohols</subject><subject>Antibiotics</subject><subject>Bacterial infections</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>Chronic kidney failure</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Complications and side effects</subject><subject>Data bases</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diagnosis</subject><subject>Emergency medical care</subject><subject>Exposure</subject><subject>Female</subject><subject>Health</subject><subject>Health risks</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Income</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Insurance</subject><subject>Kidney transplantation</subject><subject>Liver</subject><subject>Liver Abscess, Pyogenic - complications</subject><subject>Liver cancer</subject><subject>Liver diseases</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Neutrophils</subject><subject>Pathogens</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and Places</subject><subject>Phospholipase A</subject><subject>Pneumonia</subject><subject>Pneumonia - complications</subject><subject>Population</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Regression</subject><subject>Risk Factors</subject><subject>Sex</subject><subject>Statistical 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is an independent risk factor for pyogenic liver abscess: A population-based, nested, case-control study</title><author>Ho, Sai-Wai ; Yeh, Chao-Bin ; Yang, Shun-Fa ; Yeh, Han-Wei ; Huang, Jing-Yang ; Teng, Ying-Hock</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-df5aef45609193fb352d56435a52814d229db62bf55d7886a3d54cc6f3e96c1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adjustment</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Alcohols</topic><topic>Antibiotics</topic><topic>Bacterial infections</topic><topic>Biology and Life Sciences</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>Chronic kidney failure</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Complications and side effects</topic><topic>Data bases</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diagnosis</topic><topic>Emergency medical care</topic><topic>Exposure</topic><topic>Female</topic><topic>Health</topic><topic>Health risks</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Income</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Insurance</topic><topic>Kidney transplantation</topic><topic>Liver</topic><topic>Liver Abscess, Pyogenic - complications</topic><topic>Liver cancer</topic><topic>Liver diseases</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate analysis</topic><topic>Neutrophils</topic><topic>Pathogens</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>People and Places</topic><topic>Phospholipase A</topic><topic>Pneumonia</topic><topic>Pneumonia - complications</topic><topic>Population</topic><topic>Population 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organ abscess formation. Therefore, we hypothesize that pneumonia is a risk factor for pyogenic liver abscess (PLA).The aim of this study is to explore the association between pneumonia and PLA.
A nationwide, population-based, nested, case-control study was conducted using data from the Taiwan National Health Insurance Research Database. In total, 494 patients with PLA and 1,976 propensity score matched controls were enrolled. Conditional logistic regression was used to estimate adjusted odds ratios (aORs) in patients with exposure to pneumonia before PLA. After matched and adjusted for confounding factors including age, sex, urbanization, income, chronic liver disease, alcohol-related disease, biliary stone, chronic kidney disease, diabetes mellitus, chronic liver disease, and cancer, hospitalization for pneumonia remained an independent risk factor for PLA with an aORs of 2.104 [95% confidence interval (CI) = 1.309-3.379, p = 0.0021]. Moreover, the aORs were significantly higher among patients hospitalized for pneumonia within 30 days (aORs = 10.73, 95% CI = 3.381-34.054), 30-90 days (aORs = 4.698, 95% CI = 1.541-14.327) and 90-180 (aORs = 4.000, 95% CI = 1.158-13.817) days before PLA diagnosis.
Pneumonia is an independent risk factor for subsequent PLA. Moreover, hospitalization for pneumonia within 180 days before PLA diagnosis was associated with an increased risk of PLA.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28570670</pmid><doi>10.1371/journal.pone.0178571</doi><tpages>e0178571</tpages><orcidid>https://orcid.org/0000-0002-3978-5576</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2017-06, Vol.12 (6), p.e0178571-e0178571 |
| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adjustment Adult Age Aged Alcohols Antibiotics Bacterial infections Biology and Life Sciences Cancer Care and treatment Case-Control Studies Chronic kidney failure Chronic obstructive pulmonary disease Complications and side effects Data bases Diabetes Diabetes mellitus Diagnosis Emergency medical care Exposure Female Health Health risks Hospitalization Hospitals Humans Income Infections Infectious diseases Insurance Kidney transplantation Liver Liver Abscess, Pyogenic - complications Liver cancer Liver diseases Male Medical research Medicine Medicine and Health Sciences Middle Aged Mortality Multivariate analysis Neutrophils Pathogens Patient outcomes Patients People and Places Phospholipase A Pneumonia Pneumonia - complications Population Population studies Population-based studies Regression Risk Factors Sex Statistical analysis Stone Studies Urbanization |
| title | Pneumonia is an independent risk factor for pyogenic liver abscess: A population-based, nested, case-control study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T00%3A57%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pneumonia%20is%20an%20independent%20risk%20factor%20for%20pyogenic%20liver%20abscess:%20A%20population-based,%20nested,%20case-control%20study&rft.jtitle=PloS%20one&rft.au=Ho,%20Sai-Wai&rft.date=2017-06-01&rft.volume=12&rft.issue=6&rft.spage=e0178571&rft.epage=e0178571&rft.pages=e0178571-e0178571&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0178571&rft_dat=%3Cgale_plos_%3EA493876525%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1904976049&rft_id=info:pmid/28570670&rft_galeid=A493876525&rft_doaj_id=oai_doaj_org_article_1fc8898df7dc4eeaa2c2e06c0786c05b&rfr_iscdi=true |