Prediction Model Based on Computed Tomography Liver Volume for the Short-term Mortality in Hepatitis B Related Acute-on-Chronic

NCT ID: NCT03977857

Last Updated: 2021-02-25

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 486 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2019-03-01
• Study Completion Date: 2019-12-31

Brief Summary

HBV-related acute-on-chronic liver failure (HBV-ACLF) deteriorates rapidly with a high short-term mortality. Early identification and accurate prognostic prediction was critical to improve survival rate. This study was sought to determine the liver volumetry as predictor for short-term mortality in HBV-ACLF and develop a simpler prognostic model based on liver morphology. Liver volumetry were determined from CT at admission. Univariate and multivariate logistic regression were used to identify the optimum prognostic indicators and develop prognostic model. Additionally, receiver operating characteristic curves were analyzed to evaluate the predictive ability of the model.

Detailed Description

HBV-ACLF deteriorates rapidly with a high short-term mortality and early identification and accurate prognostic prediction may be the key to make clinical decision and improve survival rate. Liver volume, non-invasively reflects the balance of structural collapse with hepatic regeneration, predicting the prognosis of liver diseases. However, there is no idea whether the liver volume is an indicator to predict the mortality of HBV-ACLF patients. The present study evaluated the difference of liver volume between 28-day survival group and non-survivals and developed a new prognostic model based on liver volume . This study highlighted the significance of liver morphology in predicting the outcome of HBV-ACLF for the first time.

Conditions

Acute-on-Chronic Liver Failure; Hepatitis B, Chronic

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

28-day nonsurvival or transplantation

patients who died or underwent liver transplantation within 28 days since admission

No interventions assigned to this group

28-day transplantation-free survival

patients who survived without liver transplantation at 28 days since admission

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

1. age 18-70 years, male or female.

2. Acute hepatic insult manifesting as jaundice and coagulopathy, complicated within 4 weeks by ascites, and/or encephalopathy in a patient with chronic HBV infection

3. Abdominal CT examination was performed within 3 days after admission

4. Biochemical examinations were available within 3 days before or after CT scan

Exclusion Criteria

1. Patients with evidence of non-B hepatitis virus: alcohol abuse leads to liver failure, autoimmune leads to liver failure, oxic or other causes that might lead to liver failure

2. Past or current hepatocellular carcinoma

3. Serious diseases in other organ systems

4. Chronic liver failure

5. There was no CT imaging data or the interval between CT scan and diagnosis of liver failure >3 days

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

First Affiliated Hospital Xi'an Jiaotong University

OTHER

Sponsor Role: lead

Responsible Party

He Yingli

Research Associate

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

First Affiliated Hospital Xi'an Jiaotong University

Xi'an, , China

Countries

China

References

Hu C, Jiang N, Zheng J, Li C, Huang H, Li J, Li H, Gao Z, Yang N, Xi Q, Wang J, Liu Z, Rao K, Zhou H, Li T, Chen Y, Zhang Y, Yang J, Zhao Y, He Y. Liver volume based prediction model for patients with hepatitis B virus-related acute-on-chronic liver failure. J Hepatobiliary Pancreat Sci. 2022 Dec;29(12):1253-1263. doi: 10.1002/jhbp.1112. Epub 2022 Jan 25.

Reference Type: DERIVED

PMID: 35029044 (View on PubMed)

Other Identifiers

XJTU1AF2019LSK-2019-061

Identifier Type: -

Identifier Source: org_study_id