Table 7.
Comparison of the treatment outcome of lamivudine and entecavir in chronic hepatitis B with severe acute exacerbation.
Authors | Design | Treatment (Patient Number) | HBV DNA (Log copies/mL) | Mortality (%) | p-Value | Prognostic Factors |
---|---|---|---|---|---|---|
Cui et al. [70] | Retrospective study | ETV (33) | 5.9 | 51.5% | 0.72 | Age |
LMV (34) | 5.9 | 50% | cholinesterase | |||
MELD score | ||||||
Chen et al. [61] | Retrospective study | ETV (42) | 6.4 | 51.5% | 0.374 | Bilirubin |
LMV (30) | 5.6 | 50% | Cholesterol | |||
Prothrombin activity MELD-Na score | ||||||
Lai et al. [71]. | Retrospective study | ETV (93) | 6.4 | 51.5% | 0.680 | Bilirubin |
LMV (89) | 5.6 | 50% | Creatinine | |||
Prothrombin time MELD score | ||||||
Liu et al. [72] | Retrospective study | ETV (31) | 6.2 | 0% | 0.385 | N/A |
LMV (34) | 7.0 | 3% | ||||
Zhang et al. [73] | Retrospective study | ETV (65) | 7.0 | 21.5% | 0.066 | Gender |
HBeAg(+) | ||||||
MELD score | ||||||
Child–Pugh scores | ||||||
LMV (54) | 7.2 | 35.2% | Undetectable HBV at 30 days | |||
Chen et al. [74] | Retrospective study | ETV (107) | 6.5 | 21.2% | 0.02 | MELD score |
LMV (215) | 6.5 | 12.3% | Ascites | |||
Hepatic enceophalopathy | ||||||
Wong et al. [75] | Retrospective study | ETV (36) | 7.3 | 19% | 0.010 | Prothrombin time |
LMV (117) | 7.6 | 4% | ETV treatment | |||
Tsai et al. [76] | Retrospective study | ETV (40) | 8.3 | 12.5% | 0.035 | Prothrombin time |
LMV (59) | 8.4 | 1.7% | ETV treatment | |||
Ye et al. [77] | Meta-analysis | ETV (423) | N/A | 6.4% | NS | N/A |
LMV(450) | 7.9% | |||||
Yu et al. [65] | Meta-analysis | ETV (192) | N/A | 36.4% | 0.35 | N/A |
LMV (148) | 40.5% |
ETV: entecavir; LMV: lamivudine; MELD: the model for end-stage liver disease; HBeAg: hepatitis B e antigen; N/A: not analyzed; NS: non-significant.