Health Condition 1: K769- Liver disease, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients of ACLF as per APASL criteria between 18 to 70 years of age 2. Patient and attendants willing to give informed consent
Exclusion criteria
Exclusion criteria: 1. Age 70 years 2. Survival less than 7 days 3. Cirrhosis with prior decompensation 4. Grade 3 ascites 5. Hepatic encephalopathy grade III &IV 6. HCC/SOL >2cm in liver 7. Patient with congestive heart failure 8. Patient with extrahepatic cholestasis 9. Portal vein thrombosis 10. BMI >30 kg/m2 11. Prior variceal endotherapy or ongoing beta blocker treatment for varices 12. Pregnant and lactating women 13. Patient with cardiac pacemaker 14. Critically ill patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acute changes in liver and splenic stiffness on day 7 in patients of ACLF predicts liver transplant free survival at 3 months Timepoint: 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Acute changes in liver and splenic stiffness on day 14 in patients of ACLF predicts liver transplant free survival at 3 monthsTimepoint: 3 months;Association of baseline and change in liver and splenic stiffness with etiology of ACLFTimepoint: Day 14;Association of baseline and change in liver and splenic stiffness with pattern of organ failuresTimepoint: Day 14;Association of baseline liver and splenic stiffness with grade of esophageal varices in ACLF patientsTimepoint: 1-7 days;Association of baseline liver and splenic stiffness with severity of ACLF by AARC-ACLF score, CLIF-C-ACLF score, MELD-Na and CTP at presentationTimepoint: Day 1;Association of change in liver and splenic stiffness with change in AARC-ACLF score and CLIF-C-ACLF score.Timepoint: Day 14;Association of changes in level of biochemical inflammatory markers with change in liver and splenic stiffness.Timepoint: Day 14 | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences