Table 1.
African-Americans (n=144) | Caucasians (n=841) | P value | |
---|---|---|---|
| |||
Age (years, mean [SD]) | 46.9 ± 15.7 | 50.7 ± 17 | 0.005 |
| |||
Females (%) | 63 | 57 | 0.17 |
| |||
High School or Higher Education (%) | 83 | 93 | <0.001 |
| |||
Health Insurance (%) | 88 | 95 | 0.005 |
| |||
BMI (kg/m2, mean [SD]) | 29.9 ± 7.6 | 27.3 ± 6.6 | <0.001 |
| |||
Prior drug allergies (%) | 38 | 49 | 0.02 |
| |||
Alcohol Use (%) | 32 | 55 | <0.001 |
| |||
Preexisting Liver Disease (%) | 12 | 9 | 0.20 |
| |||
Diabetes mellitus (%) | 31 | 22 | 0.03 |
| |||
Latency (days in median, IQR) | 49 (24, 103) | 42 (22, 99) | 0.60 |
| |||
Days from earliest sign to primary implicated drug stop (days in median, IQR) | 2 (0.5, 5.5) | 3 (0, 12) | 0.40 |
| |||
Severe skin reactions (%) | 2.1 | 0.4 | 0.04 |
| |||
Jaundice (%) | 69 | 69 | 0.9 |
| |||
Liver Test Results – Onset | |||
ALT (U/L, mean [SD]) | 835 ± 893 | 773 ± 1095 | 0.10 |
Alk P (U/L, mean [SD]) | 262 ± 199 | 292 ± 261 | 0.50 |
Total bilirubin (mg/dL, mean [SD]) | 7.5 ± 7.2 | 6.4 ± 6.3 | 0.30 |
INR | 1.4 ± 0.8 | 1.4 ± 1.0 | 0.19 |
| |||
Liver Test Results – Peak values | |||
ALT (U/L, mean [SD]) | 1117 ± 1126 | 930 ± 1180 | 0.01 |
Alk P (U/L, mean [SD]) | 409 ± 383 | 403 ± 373 | 0.70 |
Total bilirubin (mg/dL, mean [SD]) | 14.2 ± 11.5 | 12.7 ± 11.6 | 0.06 |
INR | 1.9 ± 1.8 | 1.6 ± 1.5 | <0.001 |
| |||
Eosinophilia (>500/μL) (%) | 13.4 | 11.6 | 0.56 |
| |||
Improvement in liver tests (median days) | |||
Peak ALT to below ULN | 66 | 62 | 0.40 |
Peak Alk P to below ULN | 142 | 77 | 0.06 |
Peak bilirubin to ≤ 2.5 mg/dL | 36 | 33 | 0.14 |
| |||
R-ratio (mean, SD) | 12 ± 14 | 12 ± 26 | 0.14 |
| |||
Pattern of Liver Injury (%) | |||
Hepatocellular | 61 | 51 | 0.08 |
Cholestatic | 22 | 25 | |
Mixed | 17 | 24 |
Abbreviations: ALT, serum alanine aminotransferase; AP, serum alkaline phosphatase; BMI, body mass index; Chol, cholestatic; DILI, drug-induced liver injury; HC, hepatocellular; INR, international normalized ratio; IQR, interquartile range (25–75%); ULN, upper limit of normal