Efficiency of respiratory assistance in cirrhotic patients with liver failure
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In a 25-month period, 100 cirrhotic patients, in our intensive care unit (ICU) needed endotracheal intubation and mechanical ventilation. The overall mortality rate was 89%; the mortality rate was 100% among patients with septic shock and/or superimposed acute hepatitis and/or severe cirrhosis defined with clinical signs: jaundice and/or ascites and/or spontaneous hepatic encephalopathy and/or severe malnutrition. With these prognostic indices, using Bayes theorem, the probability of fatal evolution ranges from 95%–100% (α=5%). These results allow a group of patients with high cost and poor prognosis to be defined.
Key wordsVentilation Cirrhosis Hepatic coma Septic shock ICU mortality
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