Increased occurrence of brain abscesses in cirrhotic patients: A population-based 3-year follow-up study
Cirrhotic patients are prone to various infectious diseases. However, it is still unknown if the occurrence of a brain abscess is associated with cirrhosis. The purpose of this study was to identify the relationship between the occurrence of a brain abscess and cirrhosis. The National Health Insuran...
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| Veröffentlicht in: | The Turkish journal of gastroenterology 2017-09, Vol.28 (5), p.342-346 |
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| container_title | The Turkish journal of gastroenterology |
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| creator | Chen, Yen Chun Hung, Tsung Hsing Tseng, Kuo Chih Tseng, Chih Wei Hsieh, Yu Hsi Tsai, Chih Chun Tsai, Chen Chi |
| description | Cirrhotic patients are prone to various infectious diseases. However, it is still unknown if the occurrence of a brain abscess is associated with cirrhosis. The purpose of this study was to identify the relationship between the occurrence of a brain abscess and cirrhosis.
The National Health Insurance Database, which is derived from the Taiwan National Health Insurance program, was used to collect data from 40,878 patients with cirrhosis and from 40,896 randomly selected age- and sex-matched patients. All patients were followed up to identify the occurrence of brain abscesses in 3 years.
A total of 143 patients (0.17%) were diagnosed with brain abscesses in the 3-year follow-up period. There were 94 (0.23%) patients with cirrhosis and 49 (0.12%) without cirrhosis (p |
| doi_str_mv | 10.5152/tjg.2017.6374 |
| format | Article |
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The National Health Insurance Database, which is derived from the Taiwan National Health Insurance program, was used to collect data from 40,878 patients with cirrhosis and from 40,896 randomly selected age- and sex-matched patients. All patients were followed up to identify the occurrence of brain abscesses in 3 years.
A total of 143 patients (0.17%) were diagnosed with brain abscesses in the 3-year follow-up period. There were 94 (0.23%) patients with cirrhosis and 49 (0.12%) without cirrhosis (p<0.001). After regression analysis, cirrhotic patients had a higher risk of occurrence of brain abscesses than non-cirrhotic patients (hazard ratio: 1.88, 95% confidence interval: 1.30-2.72; p=0.001). In addition, the risk of occurrence of brain abscesses was higher in complicated cirrhotic patients than in non-complicated cirrhotic patients (adjusted hazard ratio: 2.07, 95% confidence interval: 1.36-3.14; p=0.001).
Cirrhotic patients, particularly those with complicated cirrhosis, have a higher risk of the occurrence of brain abscesses than non-cirrhotic patients.</description><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>DOI: 10.5152/tjg.2017.6374</identifier><identifier>PMID: 28797986</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Abscess ; Adult ; Aged ; Analysis ; Ascites - etiology ; Brain ; Brain Abscess - epidemiology ; Case-Control Studies ; Esophageal and Gastric Varices - etiology ; Female ; Follow-Up Studies ; Gastrointestinal Hemorrhage - etiology ; Health risk assessment ; Hepatic Encephalopathy - etiology ; Humans ; Incidence ; Liver cirrhosis ; Liver Cirrhosis - complications ; Liver Cirrhosis - epidemiology ; Male ; Middle Aged ; Prevalence studies (Epidemiology) ; Retrospective Studies ; Risk Factors ; Taiwan - epidemiology</subject><ispartof>The Turkish journal of gastroenterology, 2017-09, Vol.28 (5), p.342-346</ispartof><rights>COPYRIGHT 2017 AVES</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-f79216c83a6d76fcbeaa65e61f0ef50f8d88bc37b52d6cd1f7e4e68f1c0782303</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28797986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Yen Chun</creatorcontrib><creatorcontrib>Hung, Tsung Hsing</creatorcontrib><creatorcontrib>Tseng, Kuo Chih</creatorcontrib><creatorcontrib>Tseng, Chih Wei</creatorcontrib><creatorcontrib>Hsieh, Yu Hsi</creatorcontrib><creatorcontrib>Tsai, Chih Chun</creatorcontrib><creatorcontrib>Tsai, Chen Chi</creatorcontrib><title>Increased occurrence of brain abscesses in cirrhotic patients: A population-based 3-year follow-up study</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>Cirrhotic patients are prone to various infectious diseases. However, it is still unknown if the occurrence of a brain abscess is associated with cirrhosis. The purpose of this study was to identify the relationship between the occurrence of a brain abscess and cirrhosis.
The National Health Insurance Database, which is derived from the Taiwan National Health Insurance program, was used to collect data from 40,878 patients with cirrhosis and from 40,896 randomly selected age- and sex-matched patients. All patients were followed up to identify the occurrence of brain abscesses in 3 years.
A total of 143 patients (0.17%) were diagnosed with brain abscesses in the 3-year follow-up period. There were 94 (0.23%) patients with cirrhosis and 49 (0.12%) without cirrhosis (p<0.001). After regression analysis, cirrhotic patients had a higher risk of occurrence of brain abscesses than non-cirrhotic patients (hazard ratio: 1.88, 95% confidence interval: 1.30-2.72; p=0.001). In addition, the risk of occurrence of brain abscesses was higher in complicated cirrhotic patients than in non-complicated cirrhotic patients (adjusted hazard ratio: 2.07, 95% confidence interval: 1.36-3.14; p=0.001).
Cirrhotic patients, particularly those with complicated cirrhosis, have a higher risk of the occurrence of brain abscesses than non-cirrhotic patients.</description><subject>Abscess</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Ascites - etiology</subject><subject>Brain</subject><subject>Brain Abscess - epidemiology</subject><subject>Case-Control Studies</subject><subject>Esophageal and Gastric Varices - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Health risk assessment</subject><subject>Hepatic Encephalopathy - etiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Liver cirrhosis</subject><subject>Liver Cirrhosis - complications</subject><subject>Liver Cirrhosis - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Taiwan - epidemiology</subject><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkUtLJDEQgIOs6Pg4el0Ce_GSMY_uJO1tEF8geNFzSKcrGunp9CbdLPPvzTgqLEgdiiq-Kqr4EDpjdFmzml9Mby9LTplaSqGqPbTgrNKkllT9QgsmKCVVU-lDdJTzG6VCM8kP0CHXqlGNlgv0ej-4BDZDh6Nzc0owOMDR4zbZMGDbZgc5Q8alcCGl1zgFh0c7BRimfIlXeIzj3Jc6DqT92CPIBmzCPvZ9_EfmEedp7jYnaN_bPsPpZz5GzzfXT1d35OHx9v5q9UBcxeVEvGo4k04LKzslvWvBWlmDZJ6Cr6nXndatE6qteSddx7yCCqT2zFGluaDiGJ3v9o4p_p0hT2Ydyg99bweIczas4bqmjRJVQf_s0BfbgwmDj1OyboubVU21bCrOWaGWP1AlOlgHFwfwofT_GyC7AZdizgm8GVNY27QxjJqtM1Ocma0zs3VW-N-fF8_tGrpv-kuSeAdQhpI1</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Chen, Yen Chun</creator><creator>Hung, Tsung Hsing</creator><creator>Tseng, Kuo Chih</creator><creator>Tseng, Chih Wei</creator><creator>Hsieh, Yu Hsi</creator><creator>Tsai, Chih Chun</creator><creator>Tsai, Chen Chi</creator><general>AVES</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170901</creationdate><title>Increased occurrence of brain abscesses in cirrhotic patients: A population-based 3-year follow-up study</title><author>Chen, Yen Chun ; Hung, Tsung Hsing ; Tseng, Kuo Chih ; Tseng, Chih Wei ; Hsieh, Yu Hsi ; Tsai, Chih Chun ; Tsai, Chen Chi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-f79216c83a6d76fcbeaa65e61f0ef50f8d88bc37b52d6cd1f7e4e68f1c0782303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abscess</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Ascites - etiology</topic><topic>Brain</topic><topic>Brain Abscess - epidemiology</topic><topic>Case-Control Studies</topic><topic>Esophageal and Gastric Varices - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Health risk assessment</topic><topic>Hepatic Encephalopathy - etiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Liver cirrhosis</topic><topic>Liver Cirrhosis - complications</topic><topic>Liver Cirrhosis - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Taiwan - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Yen Chun</creatorcontrib><creatorcontrib>Hung, Tsung Hsing</creatorcontrib><creatorcontrib>Tseng, Kuo Chih</creatorcontrib><creatorcontrib>Tseng, Chih Wei</creatorcontrib><creatorcontrib>Hsieh, Yu Hsi</creatorcontrib><creatorcontrib>Tsai, Chih Chun</creatorcontrib><creatorcontrib>Tsai, Chen Chi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Yen Chun</au><au>Hung, Tsung Hsing</au><au>Tseng, Kuo Chih</au><au>Tseng, Chih Wei</au><au>Hsieh, Yu Hsi</au><au>Tsai, Chih Chun</au><au>Tsai, Chen Chi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased occurrence of brain abscesses in cirrhotic patients: A population-based 3-year follow-up study</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>28</volume><issue>5</issue><spage>342</spage><epage>346</epage><pages>342-346</pages><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>Cirrhotic patients are prone to various infectious diseases. However, it is still unknown if the occurrence of a brain abscess is associated with cirrhosis. The purpose of this study was to identify the relationship between the occurrence of a brain abscess and cirrhosis.
The National Health Insurance Database, which is derived from the Taiwan National Health Insurance program, was used to collect data from 40,878 patients with cirrhosis and from 40,896 randomly selected age- and sex-matched patients. All patients were followed up to identify the occurrence of brain abscesses in 3 years.
A total of 143 patients (0.17%) were diagnosed with brain abscesses in the 3-year follow-up period. There were 94 (0.23%) patients with cirrhosis and 49 (0.12%) without cirrhosis (p<0.001). After regression analysis, cirrhotic patients had a higher risk of occurrence of brain abscesses than non-cirrhotic patients (hazard ratio: 1.88, 95% confidence interval: 1.30-2.72; p=0.001). In addition, the risk of occurrence of brain abscesses was higher in complicated cirrhotic patients than in non-complicated cirrhotic patients (adjusted hazard ratio: 2.07, 95% confidence interval: 1.36-3.14; p=0.001).
Cirrhotic patients, particularly those with complicated cirrhosis, have a higher risk of the occurrence of brain abscesses than non-cirrhotic patients.</abstract><cop>Turkey</cop><pub>AVES</pub><pmid>28797986</pmid><doi>10.5152/tjg.2017.6374</doi><tpages>5</tpages></addata></record> |
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| subjects | Abscess Adult Aged Analysis Ascites - etiology Brain Brain Abscess - epidemiology Case-Control Studies Esophageal and Gastric Varices - etiology Female Follow-Up Studies Gastrointestinal Hemorrhage - etiology Health risk assessment Hepatic Encephalopathy - etiology Humans Incidence Liver cirrhosis Liver Cirrhosis - complications Liver Cirrhosis - epidemiology Male Middle Aged Prevalence studies (Epidemiology) Retrospective Studies Risk Factors Taiwan - epidemiology |
| title | Increased occurrence of brain abscesses in cirrhotic patients: A population-based 3-year follow-up study |
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