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Table 2 Univariate analysis of risk factors associated with the occurrence of ACLF within 90 days

From: Dual-energy CT quantification of extracellular liver volume predicts short-term disease progression in patients with hepatitis B liver cirrhosis-acute decompensation

Variable

Training Group (n = 215)

Validation Group (n = 92)

Progressive Group (n = 47)

Stable Group (n = 168)

p value

Progressive Group (n = 18)

Stable Group (n = 74)

p value

Age (years)

52.7 ± 11.2

49.2 ± 9.2

0.031

53.4 ± 9.9

49.7 ± 8.7

0.114

Sex (male/female)

33/14

105/63

0.330

11/7

46/28

0.934

BMI (kg/m2)

22.5 ± 3.0

23.5 ± 3.2

0.051

22.1 ± 2.5

24.0 ± 3.4

0.031

Infections, n (%)

25 (53.2%)

47 (28.0%)

0.001

12 (66.7%)

23 (31.1%)

0.005

Gastrointestinal bleeding, n (%)

15 (31.9%)

40 (23.8%)

0.260

5 (27.8%)

19 (25.7%)

0.855

Ascites, n (%)

45 (95.7%)

122 (72.6%)

0.001

18 (100.0%)

54 (73.0%)

0.013

Hepatic encephalopathy, n (%)

2 (4.3%)

6 (3.6%)

0.827

1 (5.6%)

4 (5.4%)

1.000

History of HBV (years)

1.0 (0.0, 10.0)

3.0 (0.1, 10.8)

0.192

0.8 (0.0, 11.5)

1.3 (0.0, 10.6)

0.948

Antiviral therapy, n (%)

14 (29.8%)

74 (44.0%)

0.079

4 (22.2%)

25 (33.8%)

0.507

Antiviral during follow-up, n (%)

36 (76.6%)

119 (70.8%)

0.436

12 (66.7%)

50 (67.6%)

0.942

HBeAg-positive, n (%)

33 (70.2%)

101 (60.1%)

0.207

17 (94.4%)

53 (71.6%)

0.084

Lg HBV-DNA (copies/mL)

4.0 (2.5,6.4)

3.2 (2.5,5.7)

0.102

5.5 (3.4,7.0)

4.8 (2.6, 5.9)

0.067

Urea (mmol/L)

6.7 (4.8, 9.1)

5.3 (4.3, 6.6)

0.001

7.2 (4.3, 8.9)

5.2 (4.1, 6.5)

0.086

Creatinine (umol/L)

70.0 (59.0, 80.4)

64.5 (57.0, 75.0)

0.194

70.0 (59.8, 87.3)

63.5 (56.0, 75.3)

0.174

Na+ (mmol/L)

137.4 (135.6, 139.5)

139.0 (137.0, 141.0)

0.001

138.0 (135.7, 141.0)

139.0 (137.0,141.0)

0.300

ALT (U/L)

36.0 (24.0, 58.0)

34.0 (24.0, 48.0)

0.265

34.0 (27.5, 59.5)

35.0 (24.8, 53.0)

0.451

AST (U/L)

45.0 (29.0, 86.0)

44.0 (31.0, 63.8)

0.488

51.5 (35.8, 78.5)

42.5 (31.0, 64.3)

0.304

GGT (U/L)

29.0 (19.0, 92.0)

32.0 (20.3, 54.0)

0.560

31.5 (19.8, 98.3)

36.0 (21.8, 61.0)

0.949

ALP (U/L)

100.0 (77.0, 131.0)

102.5 (82.0, 127.8)

0.617

97.5 (80.8, 125.5)

112.0 (86.8, 134.0)

0.395

ALB (g/L)

31.0 ± 5.7

34.3 ± 6.2

0.001

28.5 ± 5.0

32.6 ± 6.2

0.010

TB (umol/L)

30.2 (19.9, 50.6)

26.8 (17.4, 41.0)

0.138

34.4 (24.4, 49.2)

26.3 (17.3, 41.5)

0.097

Cholesterol (mmol/L)

2.5 (2.0, 2.9)

2.7 (2.2, 3.2)

0.100

2.4 (2.0, 2.9)

2.7 (2.1, 3.3)

0.115

WBC (10^9/L)

4.7 (3.4, 7.6)

3.2 (2.1, 4.3)

 < 0.001

4.5 (3.7, 6.0)

3.4 (2.2, 4.5)

0.008

PLT (10^9/L)

66.0 (54.0, 86.0)

49.5 (34.0, 71.0)

0.001

63.0 (54.8, 73.0)

58.0 (41.5, 85.8)

0.445

HCT (L/L)

0.34 ± 0.08

0.35 ± 0.08

0.245

0.34 ± 0.08

0.35 ± 0.07

0.717

PT (s)

15.2 (13.7, 15.5)

14.6 (13.3, 16.4)

0.390

15.3 (14.8, 17.4)

14.7 (13.3, 16.3)

0.089

PTA (%)

64.1 (55.3, 70.0)

62.2 (52.5, 78.0)

0.861

57.5 (49.5, 67.8)

64.2 (55.7, 78.5)

0.174

INR

1.3 (1.2, 1.4)

1.3 (1.2, 1.4)

0.278

1.3 (1.3, 1.5)

1.3 (1.2, 1.4)

0.137

CTP score

9.0 (7.0, 9.0)

7.0 (6.0, 9.0)

 < 0.001

9.0 (7.8, 10.3)

8.0 (6.0, 9.0)

0.009

MELD score

12.1 (10.1, 16.8)

11.2 (8.8, 13.7)

0.063

13.0 (9.9, 17.1)

11.5 (8.9, 13.9)

0.086

MELD-Na score

14.1 (10.8, 18.9)

11.9 (10.0, 14.7)

0.011

14.3 (10.0, 19.9)

12.0 (10.0, 15.6)

0.184

CLIF-C ADs

44.8 (38.1, 47.5)

37.3 (33.0, 41.5)

 < 0.001

41.8 (37.8, 44.7)

38.5 (34.2, 42.6)

0.019

IC

22.6 ± 5.0

19.4 ± 4.2

 < 0.001

23.2 ± 5.3

20.1 ± 3.9

0.007

Z

8.9 ± 0.3

8.7 ± 0.2

 < 0.001

8.9 ± 0.3

8.7 ± 0.2

0.008

K140

1.7 ± 0.4

1.5 ± 0.3

 < 0.001

1.8 ± 0.4

1.6 ± 0.3

0.008

ECVIC-liver

38.2 ± 4.8

31.5 ± 5.1

 < 0.001

37.3 ± 3.1

32.6 ± 4.9

 < 0.001

  1. BMI body mass index, ALT alanine aminotransferase, AST aspartate aminotransferase, GGT gamma-glutamyl transpeptidase, ALP alkaline phosphatase, ALB albumin, TB total bilirubin, WBC white blood cells, PLT platelet count, HCT hematocrit, PT prothrombin time, PTA prothrombin activity, INR international normalized ratio, MELD model of end-stage liver disease, CLIF-C ADs chronic liver failure consortium-acute decompensation score, IC iodine concentration, Z effective atomic number, K140 slope of the energy spectrum curve, ECVIC-liver extracellular liver volume, ACLF acute-on-chronic liver failure