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Causes and Outcomes of Acute Liver Failure in China

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Listed:
  • Pan Zhao
  • Chunya Wang
  • Weiwei Liu
  • Gang Chen
  • Xinying Liu
  • Xi Wang
  • Bao Wang
  • Liming Yu
  • Yanrong Sun
  • Xiaoming Liang
  • Haozhen Yang
  • Fei Zhang

Abstract

Objectives: No extensive investigation has been performed and thus no representative data are available regarding acute liver failure (ALF) in China. This study aims to investigate the causes and outcomes of ALF in China and establish a prognostic model. Methods: Patients diagnosed as ALF in seven hospitals in different areas of China from January 2007 to December 2012 were retrospectively selected. Results: Of the 177 patients included in this study, 112 (63.28%) eventually died. The common causes of ALF were drug toxicity (43.50%), indeterminate etiology (29.38%) and acute viral hepatitis (11.30%). Additionally, traditional Chinese herbs predominated in the causes of drug-induced ALF (30/77). No patients in this study received liver transplantation. In the established model for predicting death in ALF, four variables were finally selected out, including age (P=0.01), the entry hepatic encephalopathy grade (P=0.04), international normalized ratio (P

Suggested Citation

  • Pan Zhao & Chunya Wang & Weiwei Liu & Gang Chen & Xinying Liu & Xi Wang & Bao Wang & Liming Yu & Yanrong Sun & Xiaoming Liang & Haozhen Yang & Fei Zhang, 2013. "Causes and Outcomes of Acute Liver Failure in China," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
  • Handle: RePEc:plo:pone00:0080991
    DOI: 10.1371/journal.pone.0080991
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    References listed on IDEAS

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    1. Kama A Wlodzimirow & Saeid Eslami & Robert A F M Chamuleau & Martin Nieuwoudt & Ameen Abu-Hanna, 2012. "Prediction of Poor Outcome in Patients with Acute Liver Failure—Systematic Review of Prediction Models," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-7, December.
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