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Date Published: 17/07/2022
Abstract Views: 1042
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DOI: https://doi.org/10.51298/vmj.v516i1.3016
Issue
Vol. 516 No. 1 (2022)
Section
Các bài báo
How to Cite
Cao Ngọc, H. ., Hữu Hoàng, B. ., Tấn Phát, H. ., & Duy Thông, V. . (2022). PREDICTION OF SPONTANEOUS BACTERIAL PERITONITIS IN CIRRHOTIC ASCITES BY WEHMEYER’S SIMPLE SCORING SYSTEM. Vietnam Medical Journal, 516(1). https://doi.org/10.51298/vmj.v516i1.3016

PREDICTION OF SPONTANEOUS BACTERIAL PERITONITIS IN CIRRHOTIC ASCITES BY WEHMEYER'S SIMPLE SCORING SYSTEM

Huỳnh Cao Ngọc1,2, Bùi Hữu Hoàng2, Hồ Tấn Phát1, Võ Duy Thông1,2,
1 Cho Ray Hospital
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Objectives: To investigate the predictability of Wehmeyer's simple scoring system in spontaneous bacterial peritonitis (SBP) with cirrhotic ascites. Patients and methods: A cross-sectional study was conducted in patients with cirrhosis ascites admitted to the Department of Gastroenterology Cho Ray Hospital from October 2019 to May 2020. All patients underwent paracentesis and routine biochemical and hematological tests. SBP was defined by an absolute neutrophil count ≥ 250 cells/mm­3. Determine Wehmeyer's simple scoring system sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) in predicting spontaneous bacterial peritonitis with cirrhotic ascites. Results: There were 92 patients with cirrhosis ascites recruited for the study. The results showed that the scoring system Wehmeyer reaches PPV for diagnosis of SBP of 100% (confidence interval (CI): 73,5% – 100%) (score ≥ 3). The NPV at a threshold of 1 point was 94,7% (CI 95%: 74% - 99,9%). Fever, abdominal pain, white blood cell count, neutrophil to lymphocyte ratio (NLR), mean platelet volume (MPV), serum CRP level were identified as independent predictors of SBP. Conclusion: the author Wehmeyer's simple scoring system helps in the rapid diagnosis or exclusion of SBP.

Article Details

Keywords

cirrhosis, ascites, predictors, spontaneous bacterial peritonitis

References

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