Acute kidney injury in acute-on-chronic liver failure is different from in decompensated cirrhosis (Record no. 19366)
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000 -LEADER | |
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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 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 221110b |||||||| |||| 00| 0 eng d |
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 |
Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 11/10/2022 | RA0572 | 11/10/2022 | 11/10/2022 | RESEARCH ARTICLES |