Factors Associated with Delayed Paracentesis in Patients with Spontaneous Bacterial Peritonitis
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ORIGINAL ARTICLE
Factors Associated with Delayed Paracentesis in Patients with Spontaneous Bacterial Peritonitis Backer Abdu1 · Shalaka Akolkar1 · Christopher Picking1 · Judith Boura1 · Marc Piper1 Received: 30 May 2020 / Accepted: 25 November 2020 © The Author(s) 2020
Abstract Background and Aim In patients with spontaneous bacterial peritonitis (SBP), studies show that delayed paracentesis (DP) is associated with worse outcomes and mortality. We aimed to assess the rate of DP in the community setting and associated factors with early versus delayed paracentesis. Methods Patients hospitalized with SBP were retrospectively studied between 12/2013 and 12/2018. DP was defined as paracentesis performed > 12 h from initial encounter. Data collected included: patient factors (i.e., age, race, symptoms, history of SBP, MELD) and physician factors (i.e., admission service, shift times, providers ordering and performing paracentesis). Logistic regression analysis was performed to assess for factors associated with DP. Results DP occurred 82% of the time (n = 97). The most significant factors in predicting timing of paracentesis were ordering physician [emergency department (ED) physician was associated with early paracentesis (57% vs 8%, p 5 in 80% of cells); otherwise, Fisher’s Exact tests were used. All continuous variables were provided as either means (± the standard deviation or median and 25th and 75th percentiles), followed by the minimum to maximum dependent on the normality of the data. Continuous data were examined with Wilcoxon rank sum tests. Multivariable
Digestive Diseases and Sciences
logistic regression analysis for the primary outcome and for inpatient mortality were performed using all covariates analyzed with a univariate p value
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