The SCR in Asians is lower than reported by clinical trials in et

The SCR in Asians is lower than reported by clinical trials in ethnically mixed populations. This is important information for Asian patients and supports that factors other than VR impact Asian SCR. Disclosures: The following people have nothing to disclose: Kahee Jo, Jennifer L. Dodge, Adrian Wadley, Adil E. Wakil, Jody L. Baron, Stewart Cooper Objective Acute-on-chronic liver failure (ACLF) caused by hepatitis B virus (HBV) is a severe disease with high mortality. Immune injury plays an important role during the early stage of the disease. Our research

aimed to investigate the safety and efficacy of dexamethasone therapy for patients with HBV related ACLF. Methods A total of 1 38 inpatients with the diagnosis for HBV induced ACLF were enrolled from January 2009 to December 2012. All the AZD1208 in vitro patients received the standard medicine treatment, among whom 35 cases underwent selleck kinase inhibitor additional dexamethasone injection for 3 times (DMT Group). A total of 35 patients (SMT Group) matched for baseline characters served as controls. Both the groups were followed up for

12 weeks. The survival rates, liver functions and complications were recorded. Results The 12-week cumulative survival rates were 45.7%(16/35)and 54.3% (19/35) for SMT Group and DMT Group respectively, and no significant differences were found (P=0.654). There were no dramatic differences in the levels of alanine aminotransferase (ALT), albumin (ALB), total biliru-bin (TBil), international normalized ratio (INR), and Model for End-Stage 上海皓元医药股份有限公司 Liver Disease score (MELD score) at 1, 2, 4, 8 and

12 weeks after enrollment between two groups. There were no significant differences in the incidence of complications (i.e., infection, gastrointestinal bleeding, encephalopathy, hepatore-nal syndrome, electrolyte disturbance and ascites) from 1-12 weeks between Group SMT and Group DMT. More than 40 ages, MELD score more than 28 and encephalopathy were independent risk factors for the mortality of patients. Conclusion Dexamethasone can not improve liver functions and 12-week survival rates of patients with HBV related ACLF. Age, MELD score and encephalopathy are independent risk factors. Key Words dexamethasone; acute-on-chronic; liver failure; hepatitis B; outcome Disclosures: The following people have nothing to disclose: Shaoquan Zhang, ZiYing Lei, Junfeng Chen, Bingliang Lin Although entecavir (ETV) and hepatitis B immunoglobulin (HBIG) have widely been used for prophylaxis of hepatitis B virus (HBV) recurrence following liver transplantation (LT), there have been few studies about clinical outcomes and risk factors of HBV recurrence. This study assessed clinical outcomes and identified risk factors of posttransplant HBV recurrence in patients who received prophylaxis with both ETV and HBIG after LT. We retrospectively analyzed the outcomes and risk factors of posttransplant HBV recurrence in the 155 patients who received prophylaxis with a combination of ETV and HBIG.

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