Table 3.
Changes of acute on chronic liver failure grade during hospital stay and in-hospital mortality (matched groups)
|
Event
|
No TIPS
|
TIPS
|
P
value/OR (95%CI)
|
| Hospital stay (d) | 10 (1-78) | 14 (3-64) | P < 0.001 |
| Highest ACLF grade | P = 0.041 | ||
| -No ACLF | 157 (73%) | 144 (67%) | |
| -ACLF 1 | 47 (22%) | 50 (23%) | |
| -ACLF 2 | 8 (4%) | 15 (7%) | |
| -ACLF 3 | 2 (1%) | 5 (2%) | |
| -Any ACLF | 57 (27%) | 70 (33%) | |
| Mortality by ACLF | |||
| -Over all | 13/214 (6.1%) | 11/214 (5.1%) | OR: 0.84 (0.33 -2.08) |
| -No ACLF | 3/157 (1.9%) | 0/144 (0%) | OR: 0 (0.00 -2.63) |
| -ACLF 1 | 3/47 (6.4%) | 4/50 (8%) | OR: 1.27 (0.20 -9.18) |
| -ACLF 2 | 6/8 (75%) | 3/15 (20%) | OR: 0.09 (0.01 -0.87) |
| -ACLF 3 | 1/2 (50%) | 4/5 (80%) | OR: 3.16 (0.03 -389.17) |
| -Any ACLF | 10/57 (17.5%) | 11/70 (15.7%) | OR: 0.88 (0.31-2.52) |
| Increase in ACLF grade | P = 0.03 | ||
| -No increase | 191 (89.3%) | 176 (82.2%) | |
| -1 grade | 18 (8.4%) | 28 (13.1%) | |
| -2 grades | 4 (1.9%) | 7 (3.3%) | |
| -3 grades | 1 (0.5%) | 3 (1.4%) | |
| Mortality by ACLF increase | |||
| -No increase | 5/191 (2.6%) | 2/176 (1.1%) | OR: 0.43 (0.04-2.66) |
| -1 grade | 4/18 (22.2%) | 5/28 (17.9%) | OR: 0.77 (0.14-4.55) |
| -2 grades | 3/4 (75.0%) | 2/7 (20.0%) | OR: 0.16 (0.003-3.50) |
| -3 grades | 1/1 (100%) | 2/3 (66.7%) | OR: 0 (0.00-116.8) |
| -Any increase | 8/23 (34.8%) | 9/38 (23.7%) | OR: 0.58 (0.16-2.14) |
OR: Odds ratio; ACLF: Acute on chronic liver failure; TIPS: Transjugular intrahepatic portosystemic shunt.