Table 4 Differences of clinical characteristics between patients with ACLF included in the current study and patients from the CANONIC study.

From: Characteristics, Diagnosis and Prognosis of Acute-on-Chronic Liver Failure in Cirrhosis Associated to Hepatitis B.

Characteristics

Chinese Patients N = 300

CANONIC patients N = 417

p-value

Age (y)

46.5 ± 11.3

55.8 ± 11.7

<0.001

Male sex

233(77.7)

267(64.0)

<0.001

Previous decompensation

  

<0.001

No

157(52.3)

98(24.9)

 

Yes

143(47.7)

295(75.1)

 

Ascites

229(76.6)

324(78.5)

0.7346

Mean arterial pressure(mmHg)

84 ± 18

81 ± 13

0.0142

Cause of cirrhosis

Alcohol,noHCV

233(58.4)

No Alcohol,HCV

59(14.8)

Alcohol+HCV

37(9.3)

Other Etiologies*

70(17.5)

HBV alone

263(87.7)

HBV+Alcohol

19(6.3)

HBV+other hepatitis virus

12(4.0)

HBV+schistosomiasis

6(2.0)

Organ failures

Liver

233(77.7)

157(37.7)

<0.001

Kidney

85(28.3)

217(52.0)

<0.001

Cerebral

71(23.7)

94(22.5)

0.7925

Coagulation

203(67.7)

118(28.3)

<0.001

Circulation

57(19.0)

78(18.7)

0.9977

Lungs

43(14.3)

47(11.3)

0.2684

Renal dysfunction

44(14.7)

64(15.4)

0.801

Cerebral dysfunction

54(18.0)

130(31.3)

<0.001

Laboratory data

Hematocrit(%)

30 ± 8

28 ± 9

0.0018

Leucocytes(×109/L)

10.3 ± 6.8

9.5 ± 6.0

0.1033

Platelet count(×109/L)

85 ± 63

103 ± 70

<0.001

Serum bilirubin(mg/dL)

27 ± 16

11 ± 11

<0.001

International normalized ratio

3.2 ± 2.1

2.0 ± 0.8

<0.001

Alanine aminotransferase(U/L)

315 ± 589

69 ± 122

<0.001

Aspartate aminotransferase(U/L)

254 ± 451

202 ± 991

0.3454

γ-Glutamyltransferase(U/L)

70 ± 98

154 ± 207

<0.001

Serum creatinine(mg/dL)

1.5 ± 1.5

2.0 ± 1.5

<0.001

Serum sodium(mmol/L)

130 ± 7

133.5 ± 7

<0.001

Site of hospitalization

  

<0.001

Intensive care unit

0(0.0)

98(23.6)

 

Ward

300(100.0)

318(76.4)

 

ACLF grades:

  

<0.001

ACLF-I

55(18.3)

214(51.3)

 

ACLF-II

147(49.0)

147(35.3)

 

ACLF-III

98(32.7)

56(13.4)

 

Mortality

28 days

129(43.0)

125(30.0)

<0.001

90 days

151(50.3)

178(42.7)

0.0624

180 days

154(51.3)

204(48.9)

0.6358

365 days

156(52.0)

228(54.7)

0.4709

  1. *Hepatitis B-associated cirrhosis in 21 patients (5.2%).
  2. The CANONIC data is reproduced with permission from Moreau et al. Gastro2013.