Table 1.
Demographic and clinical characteristics of 460 pediatric DILI cases.
| Variable | Number | % | 95% CI |
|---|---|---|---|
| Sex | |||
| Boys | 259 | 56.3 | [51.7-60.8] |
| Girls | 201 | 43.7 | [39.2-48.3] |
| Age (year) | |||
| Toddlers (≥30 days and <6 years old) | 134 | 29.1 | [25.2-33.4] |
| School-aged children (≥6 and <12 years old) years) | 117 | 25.4 | [21.7-29.6] |
| Adolescents (≥12 and <18 years old) | 209 | 45.4 | [40.9-50.0] |
| Clinical types | |||
| Hepatocellular injury (R ≥5) | 258 | 62.6 | [57.9-67.2] |
| Conform to Hy’s law | 88 | 34.1 | [28.6-40.1] |
| Others | 170 | 65.9 | [59.9-71.4] |
| Cholestatic injury (R ≤2) | 44 | 10.7 | [8.1-14.0] |
| Mixed injury (2<R <5) | 110 | 26.7 | [22.7-31.2] |
| Initial serum ALT (U/L) | |||
| ≥5 × ULN | 284 | 61.7 | [57.2-66.1] |
| ≥3 × ULN and <5 × ULN | 54 | 11.7 | [9.1-150.0] |
| <3 × ULN | 122 | 26.5 | [22.7-30.7] |
| Peak serum ALT (U/L) | |||
| ≥5 × ULN | 445 | 96.7 | [84.7-98.0] |
| ≥3 × ULN and <5 × ULN | 12 | 2.6 | [1.5-4.5] |
| <3 × ULN | 3 | 0.7 | [0.2-1.9] |
| Initial serum AST (U/L) | |||
| ≥5 × ULN | 135 | 29.3 | [25.4-33.7] |
| ≥3 × ULN and <5 × ULN | 72 | 15.7 | [12.6-19.3] |
| <3 × ULN | 253 | 550.0 | [50.4-59.5] |
| Peak serum AST (U/L) | |||
| ≥5 × ULN | 278 | 60.4 | [55.9-64.8] |
| ≥3 × ULN and <5 × ULN | 90 | 19.6 | [16.2-23.4] |
| <3 × ULN | 92 | 20.0 | [16.6-23.9] |
| Initial serum TBIL (μmol/L) | |||
| ≥10 × ULN | 39 | 8.7 | [6.4-11.7] |
| ≥5 × ULN and <10 × ULN | 41 | 9.2 | [6.8-12.2] |
| ≥2 × ULN <5 × ULN | 31 | 6.9 | [4.9-9.7] |
| <2 × ULN | 336 | 75.2 | [71.0-78.9] |
| Peak serum TBIL (μmol/L) | |||
| ≥10 × ULN | 62 | 13.9 | [11.0-17.4] |
| ≥5 × ULN and <10 × ULN | 45 | 10.1 | [7.6-13.2] |
| ≥2 × ULN <5 × ULN | 44 | 9.8 | [7.4-13.0] |
| <2 × ULN | 296 | 66.2 | [61.7-70.4] |
| Presentation of clinical jaundice | |||
| Yes | 78 | 17.0 | [13.8-20.7] |
| No | 382 | 83.0 | [79.3-86.2] |
| Fatal outcomes | |||
| Acute liver failure | 8 | 1.7 | [0.9-3.4] |
| Death | 2 | 0.4 | [0.1-1.6] |
| DILI had a primary role | 1 | 50 | [2.6-97.4] |
| DILI had no role | 1 | 50 | [2.6-97.4] |
ALP, alkaline phosphatase; ALT, alanine aminotransferase; AST, aspartate aminotransferase; DILI, drug-induced liver injury; TBIL, total bilirubin; ULN, the upper limit of normal.
Data are presented as n (%) and corresponding 95% CIs, where n is the actual number with available data. Pearson chi-square test.