Acute-on-chronic liver failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Age and gender: 16 to 70 years old (including 16 and 70 years old), regardless of gender; (2)Meet the APASL diagnostic criteria: acute liver injury in patients with chronic liver disease, characterized by jaundice (serum total bilirubin [TBIL]) = 5 mg/dL) and coagulation dysfunction (prothrombin activity [PTA] <40%), and ascites and/or hepatic encephalopathy within 4 weeks; (3)Sign the informed consent.
Exclusion criteria
Exclusion criteria: (1)Liver cancer and other malignant tumors; (2)There are serious chronic diseases of extrahepatic organs: severe chronic obstructive pulmonary disease with respiratory failure, severe coronary heart disease with heart failure, myocardial infarction within 3 months before admission, serious complications of diabetes, chronic kidney failure; (3)Pregnant and lactating women (4)Mental illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of clinical features with different classification;Mortality rate within 4 weeks+liver transplantation rate;Recovery rate within 4 weeks;Mortality rate within 12 weeks+liver transplantation rate;Recovery rate within 12 weeks; | — |
Secondary
| Measure | Time frame |
|---|---|
| Total bilirubin;Prothrombin activity, PTA;White blood cell count;Hemoglobin;Platelet count;Prothrombin time;International standardized ratio;Albumin;Urea nitrogen;Blood creatinine;Blood ammonia;Blood oxygen saturation;Lactic acid;Serum viral markers;X-ray chest/chest CT;Abdominal ultrasound/CT/MRI;Alanine aminotransferase;glutamic oxaloacetic transaminase;Blood sodium;Blood potassium;28 day mortality rate of ACLF patients;3-month mortality rate of ACLF patients;6-month mortality rate of ACLF patients; | — |
Countries
China
Contacts
Beijing You'an Hospital Affiliated to Capital Medical University