ID | 116499 |
タイトル別表記 | Plasma Cystatin C in decompensated cirrhosis
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著者 |
Aumpan, Natsuda
Thammasat University
Limprukkasem, Tanabute
Thammasat University
Pornthisarn, Bubpha
Thammasat University
Vilaichone, Ratha-korn
Thammasat University
Chonprasertsuk, Soonthorn
Thammasat University
Bhanthumkomol, Patommatat
Thammasat University
Tantiyavarong, Pichaya
Thammasat University
Siramolpiwat, Sith
Thammasat University
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キーワード | Cystatin C
Cirrhosis
Acute kidney injury
Acute-on-chronic liver failure
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資料タイプ |
学術雑誌論文
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抄録 | Introduction : Cystatin C (CysC) is biomarker for early detection of acute kidney injury (AKI). However, there is limited evidence in decompensated cirrhotic patients without AKI at admission. This study aimed to assess CysC as a predictor of 90-day mortality. Methods : Decompensated cirrhotic patients without AKI were prospectively enrolled. CysC and creatinine were measured within 24 hours of admission and compared between patients with in-hospital complications (AKI, hepatorenal syndrome (HRS), acute-on-chronic liver failure (ACLF)) vs. those without, and survivors vs. non-survivors. The AUROC and cut-off point of CysC in predicting 90-day mortality were determined. Results : Of 137 decompensated cirrhotic patients, 46 without AKI at admission were included (58.7% male, age 60.8 ± 11.2years, MELD 13.1 ± 5.1, ChildA / B / C 43.5% / 39.1% / 17.4%). The mean CysC level tended to be higher in patients with ACLF (1.52 ± 0.60 vs. 1.11 ± 0.28, p = 0.05), and significantly higher in non-survivors than survivors (1.61 ± 0.53 vs. 1.08 ± 0.28, p = 0.013). The 90-day mortality rate was 21.7%. After adjusting with age and bacterial infection on admission, CysC level ≥ 1.25 mg / L was significantly associated with 90-day mortality. The CysC cut-off level ≥ 1.25 mg / L provided 80% sensitivity and 75% specificity for predicting 90-day mortality. Conclusion : Plasma CysC within 24 hours could be used as a predictor for 90-day mortality and development of ACLF in decompensated cirrhotic patients.
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掲載誌名 |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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cat書誌ID | AA11166929
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出版者 | Tokushima University Faculty of Medicine
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巻 | 68
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号 | 3-4
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開始ページ | 302
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終了ページ | 308
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並び順 | 302
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発行日 | 2021-08
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出版社版DOI | |
出版社版URL | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
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