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SELECTION OF PROGNOSTIC FACTORS OF ACUTE HEPATITIS TYPE NON-A, NON-B FOR PATIENT LISTING FOR LIVER TRANSPLANTATION1

 

作者: Kumashiro2 Ryukichi,   Sata Michio,   Koga Yuriko,   Suzuki Hiroshi,   Noguchi Kazunori,   Ishii Kunihide,   Kusaba Nobuhide,   Tanikawa Kyuichi,  

 

期刊: Transplantation  (OVID Available online 1997)
卷期: Volume 64, issue 3  

页码: 418-421

 

ISSN:0041-1337

 

年代: 1997

 

出版商: OVID

 

数据来源: OVID

 

摘要:

The aim of this study was to select prognostic factors from information available on admission in order to list patients for liver transplantation before the onset of hepatic encephalopathy in patients with fatal hepatitis type non-A, non-B. Information regarding patient profile and biochemical data obtained on admission was analyzed by multiple stepwise logistic regression, and independent prognostic factors related to death were selected. Four parameters were selected as independent prognostic factors. Patient age (over 50 years), serum total bilirubin level (over 10 mg/dl), peripheral leukocyte count, and prothrombin time were independently related to death. Positive predictive value, negative predictive value, and predictive accuracy were 0.86, 0.79, and 0.84, respectively. Our model is able to predict a patient's fatal outcome much earlier than other currently used models. It will be helpful for early referral to a transplant center.

 



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