TABLE 1.
Variable | Normal outcome | Poor outcome | p value |
---|---|---|---|
No. | 298 (55.4%) | 240 (44.6%) | |
Age at diagnosis (months) | 1 (0.8–1.5) | 1.5 (1–2.2) | |
Age during follow-up (years) | 3.34 (0.63–4.52) | 3.8 (0.48–5.25) | |
Biochemical features at NBS | |||
C3 | 7.35 (4–22.47) | 7.71 (4–31.5) | 0.119 |
C3/C2 | 0.52 (0.2–9.19) | 0.62 (0.21–3.27) | 0.000 |
MMA | 78.82 (5–3,253.72) | 112.6 (5.3–2,348.8) | 0.01 |
MCA | 2.51 (0–397.13) | 3.86 (0.17–209.1) | 0.000 |
tHcy | 102.99 (31–1,139) | 131.2 (31–750) | 0.02 |
Onset of symptoms, n (%) | 63 (21.1%) | 187 (77.9%) | 0.000 |
Initial symptoms | |||
Milk refusal, n (%) | 37 (12.4%) | 114 (47.5%) | 0.000 |
Vomiting, n (%) | 29 (9.7%) | 71 (29.6%) | 0.000 |
Drowsiness, n (%) | 38 (12.8%) | 105 (43.8%) | 0.000 |
Seizures, n (%) | 13 (4.4%) | 41 (17.1%) | 0.000 |
Coma, n (%) | 5 (1.7%) | 17 (7.1%) | 0.002 |
Dyskinesia, n (%) | 8 (2.7%) | 82 (34.2%) | 0.000 |
Developmental delay, n (%) | 12 (4%) | 80 (33.3%) | 0.000 |
Treatment | |||
With VB12 before onset | 248 (83.2%) | 89 (37.1%) | |
With VB12 after onset | 50 (16.8%) | 151 (62.9%) | 0.000 |
Biochemical features during follow-up | |||
C3 | 3 (0.06–10.83) | 3.39 (0.16–13.96) | 0.002 |
C3/C2 | 0.12 (0.01–0.36) | 0.15 (0.02–0.39) | 0.001 |
MMA | 4.29 (0–45.19) | 6.85 (0–49.57) | 0.002 |
MCA | 0.48 (0–4.99) | 0.71 (0–4.95) | 0.021 |
tHcy | 30.15 (2–59) | 35.35 (6.2–59.5) | 0.000 |
Nucleotide variant | |||
c.609G>A | 173 (58.1%) | 178 (74.2%) | 0.000 |
c.658_660delAAG | 52 (17.4%) | 41 (17.1%) | 0.911 |
c.80A>G | 55 (18.5%) | 26 (10.8%) | 0.014 |
c.567dupT | 20 (6.7%) | 30 (12.5%) | 0.022 |
c.482G>A | 77 (25.8%) | 10 (4.2%) | 0.000 |
Others | 140 (47%) | 134 (55.8%) | 0.041 |
Reference range: C3 in the blood: 0.5–4 μmol/L; C3/C2 in the blood: 0–0.2 μmol/L; MMA in the urine: 0–4 mmol/mol creatinine; MCA in the urine: 0–0.8 mmol/mol creatinine; tHcy in the blood: 0–15 μmol/L.