Fulminating Hepatic Failure
Conditions
Brief summary
The main objective is to determine the medical fate (transplanted or not and living or deceased), of patients with Severe, fulminating acute liver failure in the public hospitals of paris.
Detailed description
Severe, fulminating acute liver failure is a rare but serious disease. The overall prognosis has improved in recent years thanks to advances in medical management and liver transplantation. However, the epidemiology of this disease in France, the survival with or without liver transplantation of these patients and the factors that can influence this survival are not well known. The main objective is to determine the medical fate (transplanted or not and living or deceased), of patients with Severe, fulminating acute liver failure in the public hospitals of paris (APHP). The data will come from the APHP Health Data Warehouse
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 15 * Severe liver failure or toxicants that may cause a liver failure Or * (PR\<50% or INR \>1.5) And ALT \>250
Exclusion criteria
* Patients with underlying chronic liver disease * Patients with the conditions given by this following ICD (International Classification of Diseases) : B18 - E831 - K70 - K715 - K717 - K730- K731 - K732 - 738 - K74 - K753 - K758 - K760 - K761
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The main objective is to determine the medical fate (transplanted or not and living or deceased), of patients with Severe and fulminating acute hepatic failure within AP-HP hospitals | 1 month from the diagnosis of this episode | Patient status 1 month after diagnosis of this episode (alive or dead with or without transplantation) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Epidemiology of Severe and fulminating acute hepatic failure | Baseline | Sex Ratio M / F and cause of liver failure |
| Cause of death | From date of inclusion until the date of death from any cause, assessed up to 9 years | Cause of death |
| Analysis of Clinical Pathway | up to 1month after the diagnosis of this episode | Identification of the different services visited |
| Reasons for new hospitalizations with an admission date within 6 months after the diagnosis this episode | within 6 months after the diagnosis this episode | Identification by the usual code of the new hospitalization, consecutive to the episode |
Countries
France