Predictive ability of liver-fatty acid binding protein for all-cause mortality in patients with hepatic encephalopathy: A prospective observational study

dc.contributor.authorÇakır, Özlem Özer
dc.contributor.authorToker, Aysun
dc.contributor.authorAtaseven, Hüseyin
dc.contributor.authorDemir, Ali
dc.contributor.authorPolat, Hakkı
dc.contributor.authorGüngör, Gökhan
dc.contributor.authorBıyık, Murat
dc.date.accessioned2021-02-19T21:29:16Z
dc.date.available2021-02-19T21:29:16Z
dc.date.issued2018
dc.departmentALKÜ
dc.description.abstractPurpose: We investigated the ability of serum and urine Liver-Fatty Acid Binding Protein levels to predict mortality in patients with hepatic encephalopathy and/or compensated cirrhosis. Materials and methods: We enrolled 48 patients with cirrhosis (19 hepatic encephalopathy, 29 compensated cirrhosis) and 20 control individuals. Serum and urine Liver-Fatty Acid Binding Protein levels were determined. Patients were prospectively followed for three months. Results: Cox regression analyses showed that urine liver- fatty acid binding protein levels, Model for End-Stage Liver Disease-Sodium scores, and Child-Turcot-Pugh scores were independent predictors of mortality. Receiver operating characteristic curve analyses showed that serum levels of liver- fatty acid binding protein (>8057.5 ng/L), urine liver-fatty acid binding protein (>9892.5 ng/L), and ammonia (>65.5 µg/dL), as well as the Model for End-Stage Liver Disease-Sodium (>21.5) and Child-Turcot-Pugh (>10.5) scores, predict mortality in patients with hepatic encephalopathy. Similarly, the areas under the curve for serum liver-fatty acid binding protein (AUC, 0.701), urine liver- fatty acid binding protein (0.692), and serum ammonia (0.898) levels, as well as Model for End-Stage Liver Disease-Sodium (0.934) and Child-Turcot-Pugh (0.966) scores predicted mortality in patients with hepatic encephalopathy. Conclusion: Liver-Fatty Acid Binding Protein levels predict mortality in patients with hepatic encephalopathy.
dc.description.abstractAmaç: Hepatik ensefalopati ve/veya kompanze sirozu olan hastalarda serum ve idrar Liver- Fatty Acid Binding Protein seviyelerinin mortaliteyi öngörme kabiliyetini araştırdık. Gereç ve yöntem: Bu çalışmaya 48 siroz hastası (19 hepatik ensefalopati, 29 kompanze siroz) ve kontrol grubuna ise 20 kişi dahil edildi. Serum ve idrar Liver-Fatty Acid Binding Protein seviyeleri ölçüldü. Hastalar prospektif olarak üç ay takip edildi. Bulgular: Cox regresyon analizi, idrar Liver-Fatty Acid Binding Protein seviyeleri, Model for End-Stage Liver Disease-Sodium skoru, and Child-Turcot-Pugh skoru mortalitenin bağımsız belirleyicileri olduğunu gösterdi. "Receiver operating characteristic curve" analizleri, serum liver-fatty acid binding protein (>8057.5 ng/L), idrar liver- fatty acid binding protein (>9892.5 ng/L), and serum amonyak seviyeleri (>65.5 µg/dL), Model for End-Stage Liver Disease-Sodium (>21.5) ve Child-Turcot-Pugh (>10.5) skorları hepatic ensefalopatii hastalarda mortaliteyi öngördüğü gösterildi. Benzer olarak, eğri altında kalan alana bakıldığında, serum liver-fatty acid binding protein (AUC, 0.701), idrar liver- fatty acid binding protein (0.692), and serum amonyak (0.898) seviyeleri, ek olarak Model for End-Stage Liver Disease-Sodium (0.934) ve Child-Turcot-Pugh (0.966) skorları hepatic ensefalopatili hastalarda mortaliteyi öngördüğü gösterildi. Sonuç: Liver-Fatty Acid Binding Protein seviyeleri hepatic ensefalopatili hastalarda mortaliteyi predikte eder.
dc.identifier.doi10.31362/patd.425257
dc.identifier.endpage279en_US
dc.identifier.issn1309-9833
dc.identifier.issn1308-0865
dc.identifier.issue3en_US
dc.identifier.startpage269en_US
dc.identifier.urihttps://doi.org/10.31362/patd.425257
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpJMU5URTNOdz09
dc.identifier.urihttps://hdl.handle.net/20.500.12868/1021
dc.identifier.volume11en_US
dc.indekslendigikaynakTR-Dizin
dc.institutionauthor0-belirlenecek
dc.language.isoen
dc.relation.ispartofPamukkale Tıp Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Eleman
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnatomi ve Morfoloji
dc.subjectAnestezi
dc.subjectBiyokimya ve Moleküler Biyoloji
dc.subjectBiyofizik
dc.subjectKalp ve Kalp Damar Sistemi
dc.subjectKlinik Nöroloji
dc.subjectDermatoloji
dc.subjectAcil Tıp
dc.subjectEndokrinoloji ve Metabolizma
dc.subjectGastroenteroloji ve Hepatoloji
dc.subjectHematoloji
dc.subjectEnfeksiyon Hastalıkları
dc.subjectAdli Tıp
dc.subjectMikrobiyoloji
dc.subjectKadın Hastalıkları ve Doğum
dc.subjectOnkoloji
dc.subjectGöz Hastalıkları
dc.subjectOrtopedi
dc.subjectKulak, Burun, Boğaz
dc.subjectPatoloji
dc.subjectPediatri
dc.subjectFizyoloji
dc.subjectPsikiyatri
dc.subjectHalk ve Çevre Sağlığı
dc.subjectRadyoloji, Nükleer Tıp, Tıbbi Görüntüleme
dc.subjectRehabilitasyon
dc.subjectRomatoloji
dc.subjectCerrahi
dc.subjectÜroloji ve Nefroloji
dc.titlePredictive ability of liver-fatty acid binding protein for all-cause mortality in patients with hepatic encephalopathy: A prospective observational study
dc.title.alternativeLiver-Fatty Acid Binding Proteinin hepatic ensefalopatili hastalarda mortalite öngörme kabiliyeti: Bir prospektif gözlemsel çalışma
dc.typeArticle

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