Characteristics and outcomes of chronic liver disease patients with acute deteriorated liver function by severity of underlying liver disease
AIM: To analyze characteristics and outcome of patients with acute-on-chronic liver failure(ACLF) according to the severity of underlying liver disease. METHODS: One hundred and sixty-seven adult patients with chronic liver disease and acute deteriorated liver function, defined by jaundice and coagu...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2016-04, Vol.22 (14), p.3785-3792 |
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| creator | Hong, Yun Soo Sinn, Dong Hyun Gwak, Geum-Youn Cho, Juhee Kang, Danbee Paik, Yong-Han Choi, Moon Seok Lee, Joon Hyeok Koh, Kwang Cheol Paik, Seung Woon |
| description | AIM: To analyze characteristics and outcome of patients with acute-on-chronic liver failure(ACLF) according to the severity of underlying liver disease. METHODS: One hundred and sixty-seven adult patients with chronic liver disease and acute deteriorated liver function, defined by jaundice and coagulopathy, were analyzed. Predisposition, type of injury, response, organ failure, and survival were analyzed and compared between patients with non-cirrhosis(type A), cirrhosis(type B) and cirrhosis with previous decompensation(type C).RESULTS: The predisposition was mostly hepatitis B in type A, while it was alcoholic liver disease in typesB and C. Injury was mostly hepatic in type A, but was non-hepatic in type C. Liver failure, defined by CLIF-SOFA, was more frequent in types A and B, and circulatory failure was more frequent in type C. The 30-d overall survival rate(85.3%, 81.1% and 83.7% for types A, B and C, respectively, P = 0.31) and the 30-d transplant-free survival rate(55.9%, 65.5% and 62.5% for types A, B and C, respectively P = 0.33) were not different by ACLF subtype, but 1-year overall survival rate were different(85.3%, 71.7% and 58.7% for types A, B and C, respectively, P = 0.02).CONCLUSION: There were clear differences in predisposition, type of injury, accompanying organ failure and long-term mortality according to spectrum of chronic liver disease, implying classifying subtype according to the severity of underlying liver disease is useful for defining, clarifying and comparing ACLF. |
| doi_str_mv | 10.3748/wjg.v22.i14.3785 |
| format | Article |
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METHODS: One hundred and sixty-seven adult patients with chronic liver disease and acute deteriorated liver function, defined by jaundice and coagulopathy, were analyzed. Predisposition, type of injury, response, organ failure, and survival were analyzed and compared between patients with non-cirrhosis(type A), cirrhosis(type B) and cirrhosis with previous decompensation(type C).RESULTS: The predisposition was mostly hepatitis B in type A, while it was alcoholic liver disease in typesB and C. Injury was mostly hepatic in type A, but was non-hepatic in type C. Liver failure, defined by CLIF-SOFA, was more frequent in types A and B, and circulatory failure was more frequent in type C. The 30-d overall survival rate(85.3%, 81.1% and 83.7% for types A, B and C, respectively, P = 0.31) and the 30-d transplant-free survival rate(55.9%, 65.5% and 62.5% for types A, B and C, respectively P = 0.33) were not different by ACLF subtype, but 1-year overall survival rate were different(85.3%, 71.7% and 58.7% for types A, B and C, respectively, P = 0.02).CONCLUSION: There were clear differences in predisposition, type of injury, accompanying organ failure and long-term mortality according to spectrum of chronic liver disease, implying classifying subtype according to the severity of underlying liver disease is useful for defining, clarifying and comparing ACLF.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v22.i14.3785</identifier><identifier>PMID: 27076763</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Acute-on ; Acute-On-Chronic Liver Failure - diagnosis ; Acute-On-Chronic Liver Failure - etiology ; Acute-On-Chronic Liver Failure - mortality ; Acute-On-Chronic Liver Failure - therapy ; Adult ; Aged ; chronic ; Disease Progression ; failure;Classification;Injury;Organ ; failure;Survival ; Female ; Hepatitis B, Chronic - complications ; Hepatitis B, Chronic - diagnosis ; Hepatitis B, Chronic - mortality ; Hepatitis B, Chronic - therapy ; Hepatitis C, Chronic - complications ; Hepatitis C, Chronic - diagnosis ; Hepatitis C, Chronic - mortality ; Hepatitis C, Chronic - therapy ; Hepatitis, Autoimmune - complications ; Hepatitis, Autoimmune - diagnosis ; Hepatitis, Autoimmune - mortality ; Hepatitis, Autoimmune - therapy ; Humans ; Kaplan-Meier Estimate ; liver ; Liver Cirrhosis - diagnosis ; Liver Cirrhosis - etiology ; Liver Cirrhosis - mortality ; Liver Cirrhosis - therapy ; Liver Diseases, Alcoholic - complications ; Liver Diseases, Alcoholic - diagnosis ; Liver Diseases, Alcoholic - mortality ; Liver Diseases, Alcoholic - therapy ; Liver Function Tests ; Liver Transplantation ; Male ; Middle Aged ; Organ Dysfunction Scores ; Predictive Value of Tests ; Prognosis ; Retrospective Cohort Study ; Retrospective Studies ; Risk Factors ; Severity of Illness Index ; Time Factors</subject><ispartof>World journal of gastroenterology : WJG, 2016-04, Vol.22 (14), p.3785-3792</ispartof><rights>The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. 2016</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-4c4e478137fafef061da4065df0ccc7f1abe01a51dbe90940c65d3167bb5d5473</citedby><cites>FETCH-LOGICAL-c440t-4c4e478137fafef061da4065df0ccc7f1abe01a51dbe90940c65d3167bb5d5473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814741/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814741/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27933,27934,53800,53802</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27076763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Yun Soo</creatorcontrib><creatorcontrib>Sinn, Dong Hyun</creatorcontrib><creatorcontrib>Gwak, Geum-Youn</creatorcontrib><creatorcontrib>Cho, Juhee</creatorcontrib><creatorcontrib>Kang, Danbee</creatorcontrib><creatorcontrib>Paik, Yong-Han</creatorcontrib><creatorcontrib>Choi, Moon Seok</creatorcontrib><creatorcontrib>Lee, Joon Hyeok</creatorcontrib><creatorcontrib>Koh, Kwang Cheol</creatorcontrib><creatorcontrib>Paik, Seung Woon</creatorcontrib><title>Characteristics and outcomes of chronic liver disease patients with acute deteriorated liver function by severity of underlying liver disease</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM: To analyze characteristics and outcome of patients with acute-on-chronic liver failure(ACLF) according to the severity of underlying liver disease. METHODS: One hundred and sixty-seven adult patients with chronic liver disease and acute deteriorated liver function, defined by jaundice and coagulopathy, were analyzed. Predisposition, type of injury, response, organ failure, and survival were analyzed and compared between patients with non-cirrhosis(type A), cirrhosis(type B) and cirrhosis with previous decompensation(type C).RESULTS: The predisposition was mostly hepatitis B in type A, while it was alcoholic liver disease in typesB and C. Injury was mostly hepatic in type A, but was non-hepatic in type C. Liver failure, defined by CLIF-SOFA, was more frequent in types A and B, and circulatory failure was more frequent in type C. The 30-d overall survival rate(85.3%, 81.1% and 83.7% for types A, B and C, respectively, P = 0.31) and the 30-d transplant-free survival rate(55.9%, 65.5% and 62.5% for types A, B and C, respectively P = 0.33) were not different by ACLF subtype, but 1-year overall survival rate were different(85.3%, 71.7% and 58.7% for types A, B and C, respectively, P = 0.02).CONCLUSION: There were clear differences in predisposition, type of injury, accompanying organ failure and long-term mortality according to spectrum of chronic liver disease, implying classifying subtype according to the severity of underlying liver disease is useful for defining, clarifying and comparing ACLF.</description><subject>Acute-on</subject><subject>Acute-On-Chronic Liver Failure - diagnosis</subject><subject>Acute-On-Chronic Liver Failure - etiology</subject><subject>Acute-On-Chronic Liver Failure - mortality</subject><subject>Acute-On-Chronic Liver Failure - therapy</subject><subject>Adult</subject><subject>Aged</subject><subject>chronic</subject><subject>Disease Progression</subject><subject>failure;Classification;Injury;Organ</subject><subject>failure;Survival</subject><subject>Female</subject><subject>Hepatitis B, Chronic - complications</subject><subject>Hepatitis B, Chronic - diagnosis</subject><subject>Hepatitis B, Chronic - mortality</subject><subject>Hepatitis B, Chronic - therapy</subject><subject>Hepatitis C, Chronic - complications</subject><subject>Hepatitis C, Chronic - diagnosis</subject><subject>Hepatitis C, Chronic - mortality</subject><subject>Hepatitis C, Chronic - therapy</subject><subject>Hepatitis, Autoimmune - complications</subject><subject>Hepatitis, Autoimmune - diagnosis</subject><subject>Hepatitis, Autoimmune - mortality</subject><subject>Hepatitis, Autoimmune - therapy</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>liver</subject><subject>Liver Cirrhosis - diagnosis</subject><subject>Liver Cirrhosis - etiology</subject><subject>Liver Cirrhosis - mortality</subject><subject>Liver Cirrhosis - therapy</subject><subject>Liver Diseases, Alcoholic - complications</subject><subject>Liver Diseases, Alcoholic - diagnosis</subject><subject>Liver Diseases, Alcoholic - mortality</subject><subject>Liver Diseases, Alcoholic - therapy</subject><subject>Liver Function Tests</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organ Dysfunction Scores</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Retrospective Cohort Study</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Time Factors</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1vEzEQhi0EoqFw54R85LLBn-vdCxKKCkWqxAXOlteeTVxt7NT2psqP6H_Gq4aIWrI8mnnn8dgvQh8pWXMlui-P99v1kbG1p6ImOvkKrRijfcM6QV6jFSVENT1n6gq9y_meEMa5ZG_RFVNEtarlK_S02ZlkbIHkc_E2YxMcjnOxcQ8ZxxHbXYrBWzz5IyTsfAaTAR9M8RBKxo--7LCxcwHsYKHEZAq4s3ycgy0-BjyccIaa8eW0QOfgIE0nH7Yvue_Rm9FMGT6cz2v05_vN781tc_frx8_Nt7vGCkFKI6wAoTrK1WhGGElLnRGklW4k1lo1UjMAoUZSN0BPekFsrXHaqmGQTgrFr9HXZ-5hHvbgbH1KMpM-JL836aSj8fplJfid3sajFh0VStAK-HwGpPgwQy5677OFaTIB4pw1rdNJrtp2kZJnqU0x5wTj5RpK9OKiri7q6qKuLurFxdry6f_xLg3_bKsCfmbuYtg-1H-8aHrSLauXRHSil6JuVqNOKv4XeUeuqw</recordid><startdate>20160414</startdate><enddate>20160414</enddate><creator>Hong, Yun Soo</creator><creator>Sinn, Dong Hyun</creator><creator>Gwak, Geum-Youn</creator><creator>Cho, Juhee</creator><creator>Kang, Danbee</creator><creator>Paik, Yong-Han</creator><creator>Choi, Moon Seok</creator><creator>Lee, Joon Hyeok</creator><creator>Koh, Kwang Cheol</creator><creator>Paik, Seung Woon</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160414</creationdate><title>Characteristics and outcomes of chronic liver disease patients with acute deteriorated liver function by severity of underlying liver disease</title><author>Hong, Yun Soo ; Sinn, Dong Hyun ; Gwak, Geum-Youn ; Cho, Juhee ; Kang, Danbee ; Paik, Yong-Han ; Choi, Moon Seok ; Lee, Joon Hyeok ; Koh, Kwang Cheol ; Paik, Seung Woon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-4c4e478137fafef061da4065df0ccc7f1abe01a51dbe90940c65d3167bb5d5473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute-on</topic><topic>Acute-On-Chronic Liver Failure - diagnosis</topic><topic>Acute-On-Chronic Liver Failure - etiology</topic><topic>Acute-On-Chronic Liver Failure - mortality</topic><topic>Acute-On-Chronic Liver Failure - therapy</topic><topic>Adult</topic><topic>Aged</topic><topic>chronic</topic><topic>Disease Progression</topic><topic>failure;Classification;Injury;Organ</topic><topic>failure;Survival</topic><topic>Female</topic><topic>Hepatitis B, Chronic - complications</topic><topic>Hepatitis B, Chronic - diagnosis</topic><topic>Hepatitis B, Chronic - mortality</topic><topic>Hepatitis B, Chronic - therapy</topic><topic>Hepatitis C, Chronic - complications</topic><topic>Hepatitis C, Chronic - diagnosis</topic><topic>Hepatitis C, Chronic - mortality</topic><topic>Hepatitis C, Chronic - therapy</topic><topic>Hepatitis, Autoimmune - complications</topic><topic>Hepatitis, Autoimmune - diagnosis</topic><topic>Hepatitis, Autoimmune - mortality</topic><topic>Hepatitis, Autoimmune - therapy</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>liver</topic><topic>Liver Cirrhosis - diagnosis</topic><topic>Liver Cirrhosis - etiology</topic><topic>Liver Cirrhosis - mortality</topic><topic>Liver Cirrhosis - therapy</topic><topic>Liver Diseases, Alcoholic - complications</topic><topic>Liver Diseases, Alcoholic - diagnosis</topic><topic>Liver Diseases, Alcoholic - mortality</topic><topic>Liver Diseases, Alcoholic - therapy</topic><topic>Liver Function Tests</topic><topic>Liver Transplantation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Organ Dysfunction Scores</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Retrospective Cohort Study</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Time Factors</topic><toplevel>online_resources</toplevel><creatorcontrib>Hong, Yun Soo</creatorcontrib><creatorcontrib>Sinn, Dong Hyun</creatorcontrib><creatorcontrib>Gwak, Geum-Youn</creatorcontrib><creatorcontrib>Cho, Juhee</creatorcontrib><creatorcontrib>Kang, Danbee</creatorcontrib><creatorcontrib>Paik, Yong-Han</creatorcontrib><creatorcontrib>Choi, Moon Seok</creatorcontrib><creatorcontrib>Lee, Joon Hyeok</creatorcontrib><creatorcontrib>Koh, Kwang Cheol</creatorcontrib><creatorcontrib>Paik, Seung Woon</creatorcontrib><collection>维普_期刊</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>维普中文期刊数据库</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Yun Soo</au><au>Sinn, Dong Hyun</au><au>Gwak, Geum-Youn</au><au>Cho, Juhee</au><au>Kang, Danbee</au><au>Paik, Yong-Han</au><au>Choi, Moon Seok</au><au>Lee, Joon Hyeok</au><au>Koh, Kwang Cheol</au><au>Paik, Seung Woon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics and outcomes of chronic liver disease patients with acute deteriorated liver function by severity of underlying liver disease</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2016-04-14</date><risdate>2016</risdate><volume>22</volume><issue>14</issue><spage>3785</spage><epage>3792</epage><pages>3785-3792</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>AIM: To analyze characteristics and outcome of patients with acute-on-chronic liver failure(ACLF) according to the severity of underlying liver disease. METHODS: One hundred and sixty-seven adult patients with chronic liver disease and acute deteriorated liver function, defined by jaundice and coagulopathy, were analyzed. Predisposition, type of injury, response, organ failure, and survival were analyzed and compared between patients with non-cirrhosis(type A), cirrhosis(type B) and cirrhosis with previous decompensation(type C).RESULTS: The predisposition was mostly hepatitis B in type A, while it was alcoholic liver disease in typesB and C. Injury was mostly hepatic in type A, but was non-hepatic in type C. Liver failure, defined by CLIF-SOFA, was more frequent in types A and B, and circulatory failure was more frequent in type C. The 30-d overall survival rate(85.3%, 81.1% and 83.7% for types A, B and C, respectively, P = 0.31) and the 30-d transplant-free survival rate(55.9%, 65.5% and 62.5% for types A, B and C, respectively P = 0.33) were not different by ACLF subtype, but 1-year overall survival rate were different(85.3%, 71.7% and 58.7% for types A, B and C, respectively, P = 0.02).CONCLUSION: There were clear differences in predisposition, type of injury, accompanying organ failure and long-term mortality according to spectrum of chronic liver disease, implying classifying subtype according to the severity of underlying liver disease is useful for defining, clarifying and comparing ACLF.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>27076763</pmid><doi>10.3748/wjg.v22.i14.3785</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute-on Acute-On-Chronic Liver Failure - diagnosis Acute-On-Chronic Liver Failure - etiology Acute-On-Chronic Liver Failure - mortality Acute-On-Chronic Liver Failure - therapy Adult Aged chronic Disease Progression failure Classification Injury Organ failure Survival Female Hepatitis B, Chronic - complications Hepatitis B, Chronic - diagnosis Hepatitis B, Chronic - mortality Hepatitis B, Chronic - therapy Hepatitis C, Chronic - complications Hepatitis C, Chronic - diagnosis Hepatitis C, Chronic - mortality Hepatitis C, Chronic - therapy Hepatitis, Autoimmune - complications Hepatitis, Autoimmune - diagnosis Hepatitis, Autoimmune - mortality Hepatitis, Autoimmune - therapy Humans Kaplan-Meier Estimate liver Liver Cirrhosis - diagnosis Liver Cirrhosis - etiology Liver Cirrhosis - mortality Liver Cirrhosis - therapy Liver Diseases, Alcoholic - complications Liver Diseases, Alcoholic - diagnosis Liver Diseases, Alcoholic - mortality Liver Diseases, Alcoholic - therapy Liver Function Tests Liver Transplantation Male Middle Aged Organ Dysfunction Scores Predictive Value of Tests Prognosis Retrospective Cohort Study Retrospective Studies Risk Factors Severity of Illness Index Time Factors |
| title | Characteristics and outcomes of chronic liver disease patients with acute deteriorated liver function by severity of underlying liver disease |
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