FACTORS ASSOCIATED WITH MORTALITY IN PATIENTS WITH ILIOPSOAS ABSCESS d.skicko@gmail.com

195-05

FACTORS ASSOCIATED WITH MORTALITY IN PATIENTS WITH ILIOPSOAS ABSCESS

3

Latvia

Oral or Poster

Iliopsoas abscess is a severe retroperitoneal infection with high morbidity and mortality. Identifying clinical and laboratory predictors of outcomes is essential for improving prognosis.

A retrospective cohort study included patients treated for iliopsoas abscess at Riga East University Hospital, Latvia from 2011 to 2024. Clinical, demographic, and laboratory data were analyzed using univariate and multivariable logistic regression analysis to identify factors associated with mortality.

Among 239 patients, univariate analysis identified age, sepsis, CKD, advanced CHF, pulmonary disease, anaemia, thrombocytopenia, and elevated creatinine as associated with higher mortality (p < 0.02). In multivariable logistic regression analysis, older age (OR 1.08, 95% CI 1.04–1.13, p < 0.001), sepsis (OR 3.79, 95% CI 1.46–10.18, p = 0.007), sepsis with MODS (OR 12.79, 95% CI 3.89–45.45, p < 0.001), renal disease stage III (OR 2.70, 95% CI 1.03–7.16, p = 0.043), liver cirrhosis (OR 9.25, 95% CI 1.88–47.76, p = 0.006), and advanced CHF (OR 3.63, 95% CI 1.40–9.74, p = 0.009) were independently associated with increased mortality. Among laboratory parameters, elevated creatinine (OR 1.02, 95% CI 1.01–1.04, p = 0.010) was associated with increased mortality, while higher C-reactive protein (CRP) was associated with decreased mortality (OR 0.99, 95% CI 0.98–1.00, p = 0.037).

Older age, sepsis (especially with MODS), liver cirrhosis, elevated creatinine, advanced renal disease and CHF failure were independent predictors of increased mortality in patients with iliopsoas abscess. Early identification and management of these risk factors may improve patient outcomes.