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Audit of management of pyogenic liver abscess in a tertiary referral hospital
Author(s) -
Ng WingChiu,
Li WingHong,
Cheung MoonTong
Publication year - 2008
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2007.00385.x
Subject(s) - medicine , pyogenic liver abscess , liver abscess , abscess , referral , surgery , family medicine
Aim: To review the management and clinical outcomes of patients with pyogenic liver abscess in Queen Elizabeth Hospital. Methods: This is a retrospective review of the management of patients with a diagnosis of pyogenic liver abscess in Queen Elizabeth Hospital from 2000 to 2004. Results: From 2000 to 2004, 143 patients with a diagnosis of pyogenic liver abscess were managed in Queen Elizabeth Hospital. Procedure‐related complications were 6/143 (4%). The success rate from percutaneous intervention was 122/143 (85%). The overall in‐hospital mortality was 18/143 (13%). Mean hospital stay was 30.1 days and the median was 23 days. Multivariate logistic regression analysis on risk factors for in‐hospital mortality showed high white cell count, large size abscess and prolonged activated prothrombin time as independent risk factors. Conclusion: In the present series, high white cell count, large size abscess and prolonged activated prothrombin time predicted poor outcomes in patients with pyogenic liver abscess.