Impact of Karnofsky performance status on outcomes of patients with severe alcohol-associated hepatitis: a propensity-matched analysis

Severity scores, including the model for end-stage liver disease (MELD) and discriminant function score, guide the treatment of patients with severe alcohol-associated hepatitis (AH). We aimed to investigate the impact of functional status on outcomes of patients with AH. Medically managed patients...

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Veröffentlicht in:Internal medicine journal 2024-10
Hauptverfasser: Kulkarni, Anand V, Venishetty, Shantan, Kumar, Karan, Gurav, Nitish, Albhaisi, Somaya, Chhabbra, Prateek, Shaik, Sameer, Alla, Manasa, Iyengar, Sowmya, Sharma, Mithun, Rao, Padaki N, Arab, Juan P, Reddy, Duvvur N
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Sprache:eng
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Zusammenfassung:Severity scores, including the model for end-stage liver disease (MELD) and discriminant function score, guide the treatment of patients with severe alcohol-associated hepatitis (AH). We aimed to investigate the impact of functional status on outcomes of patients with AH. Medically managed patients (n = 133) with AH from 1 January 2019 to 31 December 2022 were included in this prospective study. The objectives were to compare the long-term survival, recompensation rates, corticosteroid response, incidence of infections, hepatic encephalopathy (HE) and acute kidney injury (AKI) among propensity score-matched patients with good Karnofsky performance status (KPS) (score ≥50) and poor KPS (score
ISSN:1444-0903
1445-5994
1445-5994
DOI:10.1111/imj.16562