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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Virol+J
2015 ; 12
(ä): 97
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gab.com Text
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English Wikipedia
Initial combination anti-viral therapy with lamivudine and adefovir dipivoxil
decreases short-term fatality rate of hepatitis-B-virus-related acute-on-chronic
liver failure
#MMPMID26104153
Yang J
; Chen G
; Chen X
; Zhang H
; Jiang D
; Yang G
Virol J
2015[Jun]; 12
(ä): 97
PMID26104153
show ga
BACKGROUND: Acute-on-chronic liver failure (ACLF) is a common serious hepatitis B
virus (HBV)-related disease and has a poor prognosis. Until recently, initial
combination antiviral treatment in ACLF patients was rarely reported. This study
evaluated the effect of initial combination treatment with lamivudine and
adefovir dipivoxil on the prognosis of HBV-related ACLF. METHODS: In this
retrospective study, 131 eligible ACLF patients, including 61 treated with 100 mg
lamivudine and 10 mg adefovir dipivoxil daily and 70 not treated with any
nucleoside analogs (NAs), were selected and assigned into the NA and non-NA
groups. All the patients received standard medicinal therapy. At weeks 0-4 and
12, serum markers for hepatic and renal functions were measured in all patients
and accumulated fatality rates were calculated. Statistical analyses, including
Student's t test, ?(2) test and unconditional logistic regression analysis, were
performed using SPSS version 17.0 software. RESULTS: Clinical data indicated that
improvement of hepatic function was better in the NA than in the non-NA group.
The accumulated fatality rate in the NA group was lower than in the non-NA group
at weeks 2-4 and 12, and these differences were significant. Univariate analysis
showed that age, prothrombin activity, model of end-stage liver disease (MELD)
score, and treatment without NAs were risk factors for short-term survival of
ACLF. Further research by unconditional logistic regression analysis identified
that older age, high MELD score and treatment without NAs were independent risk
factors for short-term survival of ACLF. CONCLUSIONS: Initial combination
antiviral treatment is effective in decreasing short-term fatality of HBV-related
ACLF.