Acute kidney injury in acute-on-chronic liver failure is different from in decompensated cirrhosis (Record no. 19366)

MARC details
000 -LEADER
fixed length control field 03277nam a22003617a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193725.0
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028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Qun-Qun Jiang
9 (RLIN) 45233
222 ## - KEY TITLE
Key title Decompensated cirrhosis, Acute-on-chronic liver failure, Acute kidney injury, Biomarker, Etiology, Treatment, Prognosis
245 ## - TITLE STATEMENT
Title Acute kidney injury in acute-on-chronic liver failure is different from in decompensated cirrhosis
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza:
Name of publisher, distributor, etc. Baishideng Publishing Group Inc &
-- Tanzania Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 2018/6/6
300 ## - PHYSICAL DESCRIPTION
Extent Pages 2300
490 ## - SERIES STATEMENT
Volume/sequential designation World journal of gastroenterology Volume 24 Issue 21
520 ## - SUMMARY, ETC.
Summary, etc. Abstract<br/><br/>AIM: To evaluate the differences in acute kidney injury (AKI) between acute-on-chronic liver failure (ACLF) and decompensated cirrhosis (DC) patients.<br/><br/>METHODS: During the period from December 2015 to July 2017, 280 patients with hepatitis B virus (HBV)-related ACLF (HBV-ACLF) and 132 patients with HBV-related DC (HBV-DC) who were admitted to our center were recruited consecutively into an observational study. Urine specimens were collected from all subjects and the levels of five urinary tubular injury biomarkers were detected,including neutrophil gelatinase-associated lipocalin (NGAL), interleukin-18 (IL-18), liver-type fatty acid binding protein (L-FABP), cystatin C (CysC), and kidney injury molecule-1 (KIM-1). Simultaneously, the patient demographics, occurrence and progression of AKI, and response to terlipressin therapy were recorded. All patients were followed up for 3 mo or until death after enrollment.<br/><br/>RESULTS: AKI occurred in 71 and 28 of HBV-ACLF and HBV-DC patients, respectively (25.4% vs 21.2%, P = 0.358). Among all patients, the levels of four urinary biomarkers (NGAL, CysC, L-FABP, IL-18) were significantly elevated in patients with HBV-ACLF and AKI (ACLF-AKI), compared with that in patients with HBV-DC and AKI (DC-AKI) or those without AKI. There was a higher proportion of patients with AKI progression in ACLF-AKI patients than in DC-AKI patients (49.3% vs 17.9%, P = 0.013). Forty-three patients with ACLF-AKI and 19 patients with DC-AKI were treated with terlipressin. The response rate of ACLF-AKI patients was significantly lower than that of patients with DC-AKI (32.6% vs 57.9%, P = 0.018). Furthermore, patients with ACLF-AKI had the lowest 90 d survival rates among all groups (P < 0.001).<br/><br/>CONCLUSION: AKI in ACLF patients is more likely associated with structural kidney injury, and is more progressive, with a poorer response to terlipressin treatment and a worse prognosis than that in DC patients.<br/>
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 45234
9 (RLIN) 45235
9 (RLIN) 45236
9 (RLIN) 45237
9 (RLIN) 22895
9 (RLIN) 45238
9 (RLIN) 45239
9 (RLIN) 45240
9 (RLIN) 45241
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="10.3748/wjg.v24.i21.2300">10.3748/wjg.v24.i21.2300</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Holdings
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