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Table 2 Comparison of clinical features and prognosis between hepatotropic viral insult and non-virus insult groups

From: Hepatitis B-related acute-on-chronic liver failure induced by hepatotropic viral insult is associated with worse prognosis than that induced by non-virus insult

 

Total (n = 203)

HVI (n = 82)

NVI (n = 121)

P value

Age,years

47.7 ± 11.4

49.3 ± 9.6

46.6 ± 12.4

0.087

Male,no(%)

161(79.3)

64(73.1)

97(80.2)

0.715

ACLF Type, no (%)

A

B

C

59 (29.1)

75 (36.9)

69 (34.0)

24 (29.3)

34 (41.5)

24 (29.3)

35 (28.9)

41 (33.9)

45 (37.2)

0.435

Exacerbation time frame, days, median (IQR)

14 (23)

20 (20)

10 (14)

0.003

Laboratory data

 ALT, IU/L median (IQR)

185.0 (470.5)

151.7 (535.7)

219 (472.5)

0.927

 AST, IU/L median (IQR)

203.3 (374.4)

184.5 (460.4)

207.0 (394.1)

0.785

 Albumin, g/L mean(SD)

29.9 ± 5.1

31.5 ± 4.8

28.9 ± 5.1

0.000

 GGT,IU/L median (IQR)

85.0 (83.8)

92.0 (101)

82.0 (77.5)

0.091

 TB, umol/L median (IQR)

263.3 (224.4)

285.8 (215.4)

252.4 (216.6)

0.216

 Na, mmol/L median (IQR)

135.1 (5.5)

134.6 (5.5)

135.2 (5.8)

0.788

 Creatinine, umol/L median (IQR)

72.0 (37.0)

68 (36.5)

76(38.5)

0.195

 WBC, 109/L median (IQR)

6.2 (4.5)

5.8 (8.6)

6.8 (4.2)

0.227

 NEUT, % median (IQR)

72.0 (14.6)

71.4 (15.3)

72.0 (15.0)

0.880

 Platelet, 109/L median (IQR)

79 (70)

79 (117)

80 (61)

0.845

 PTA,% median (IQR)

33.8 (13.6)

33.6(14.3)

34 (13.2)

0.896

 INR median (IQR)

2.1 (0.8)

2.1 (0.9)

2.1 (0.8)

0.707

Severity score

 CTP median (IQR)

11.0( 2)

11.0 (2)

11.0 (2)

0.134

 MELD mean (SD)

23.6 ± 5.4

23.7 ± 6.1

23.5 ± 4.9

0.830

 CLIF-SOFA median (IQR)

7 (1)

7 (2)

7 (1)

0.660

 Lactate free AARC median (IQR)

7 (1)

9 (2)

8 (3)

0.738

 CLIF-ACLF median (IQR)

39.2 (12.7)

41.3 (11.7)

38.3 (12.8)

0.188

Cumulative mortality

 28 day, no (%)

37 (18.2)

19 (20.9)

18 (13.7)

0.125

 90 day, no (%)

65 (32.0)

33 (36.3)

32 (24.4)

0.020

 1 year, no (%)

72 (35.5)

36 (39.5)

36 (27.5)

0.014

  1. HVI hepatotropic viral insult, NVI non-virus insult, ACLF acute-on-chronic liver failure, ALT alanine aminotransferase, AST aspartate aminotransferase, GGT gamma glutamyl transferase, TB total bilirubin, Na serum sodium, WBC white blood cell, NEUT neutrophils, PTA prothrombin activity, INR international normalized ratio, CTP child-turcotte-pugh, MELD model for end-stage liver disease, CLIF-SOFA chronic liver failure-sequential organ failure assessment. AARC APASL-ACLF research consortium, CLIF-ACLF chronic liver failure -consortium- acute-on-chronic liver failure score