Advances in Clinical and Experimental Medicine,
Journal Year:
2024,
Volume and Issue:
34(11), P. 0 - 0
Published: Nov. 18, 2024
Acute-on-chronic
liver
failure
(ACLF)
is
characterized
by
rapid
onset,
development
and
a
high
short-term
mortality
rate.
Systemic
inflammation
exerts
an
effect
on
the
disease
progression
of
ACLF.
Frontiers in Molecular Biosciences,
Journal Year:
2024,
Volume and Issue:
11
Published: July 25, 2024
Hepatitis
B
virus-associated
acute-on-chronic
liver
failure
(HBV-ACLF)
is
a
syn-drome
with
high
short-term
mortality
rate,
and
its
prognosis
critical
in
clinical
management.
This
study
aimed
to
investigate
the
significance
of
glutathione
peroxidase
4
(GPX4)
occurrence
development
HBV-ACLF
prognostic
value
for
90-day
mortality.
eGastroenterology,
Journal Year:
2024,
Volume and Issue:
2(3), P. e100101 - e100101
Published: Oct. 1, 2024
The
model
for
end-stage
liver
disease
(MELD)
score
is
widely
used
the
prognostication
in
but
has
limited
performance
acute-on-chronic
failure
(ACLF).
In
this
study,
we
identified
additional
predictive
parameters
and
reformed
MELD
to
predict
ACLF
more
accurately.
A
meta-analysis
was
performed
on
relevant
studies
identify
factors
of
28-day/90-day
outcomes
ACLF,
which
were
validated
two
large
prospective
cohorts.
prognostic
developed
by
incorporating
into
score.
evaluated
with
a
focus
discrimination
calibration.
incorporated
32
cohort
total
13
939
patients,
risk
identified,
3
(age,
neutrophil
count
hepatic
encephalopathy
(HE)
grade)
besides
751
patients
derived
from
new
(Chinese
Acute-on-Chronic
Liver
Failure
Consortium
(CATCH-LIFE)-MELD
score)
as
follows:
0.028×age+0.3×HE
grade+0.039×neutrophil
count+0.079×MELD
CATCH-LIFE-MELD
achieved
concordance
index
0.791/0.788
outcomes,
superior
other
traditional
scores.
Other
indices,
including
net
reclassification
improvement,
integrated
improvement
probability
density
function,
calibration
Nagelkerke's
R2
Brier
scores
confirmed
its
superiority.
Moreover,
accuracy
remained
stable.
It
highest
or
without
hepatitis
B
virus
infection,
cirrhosis,
under
Chinese
Group
Study
Severe
Hepatitis
(COSSH)
criteria
European
Association
(EASL)
criteria.
All
results
substantiated
an
evaluation
using
external
cohort.
score,
modified
exhibited
improved
predicting
short-term
prognosis
than
Advances in Clinical and Experimental Medicine,
Journal Year:
2024,
Volume and Issue:
34(11), P. 0 - 0
Published: Nov. 18, 2024
Acute-on-chronic
liver
failure
(ACLF)
is
characterized
by
rapid
onset,
development
and
a
high
short-term
mortality
rate.
Systemic
inflammation
exerts
an
effect
on
the
disease
progression
of
ACLF.