Table 1.
Clinical feature | Etiology of ALF, N = 2,614 | |||||||
---|---|---|---|---|---|---|---|---|
Paracetamol, N = 1,195 | Ischemia, N = 181 | DILI, N = 283 | AI-ALF, N = 173 | HBV, N = 188 | HAV, N = 39 | Pregnant, N = 27 | All others, N = 528 | |
Age (median years) | 37 | 53 | 47 | 46 | 45 | 50 | 31 | 40 |
Gender (% female) | 75 | 58 | 67 | 81 | 45 | 44 | 100 | 64 |
Jaundice-coma (median days) | 1 | 2 | 12 | 16 | 8 | 4 | 7 | 7 |
HE grade ≥ 3 (%) | 54 | 56 | 36 | 27 | 51 | 54 | 54 | 44 |
ALT (median IU/L) | 3,780 | 2,311 | 654 | 404 | 1,410 | 2,229 | 43 | 758 |
Bilirubin (median mg/dL) | 4.3 | 3.8 | 19.6 | 22.8 | 19.2 | 12.0 | 9.0 | 16.2 |
Transplanted* (%) | 9 | 2 | 39 | 57 | 40 | 33 | 4 | 36 |
Transplant-free survival* (%) | 65 | 57 | 24 | 14 | 19 | 51 | 78 | 22 |
Overall survival* (%) | 72 | 58 | 58 | 63 | 53 | 77 | 82 | 55 |
Abbreviations: AI, autoimmune; ALF, acute liver failure; ALT, alanine aminotransferase; DILI, drug-induced liver injury; HAV, hepatitis A virus; HBV, hepatitis B virus; HE, hepatic encephalopathy.
Note: Striking differences are seen between the two hyperacute etiologies (paracetamol and ischemia) and all other etiologies in terms of time from onset to failure, liver laboratory values, and outcomes.
indicates outcome 21 days after admission for ALF to the study site hospital