کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6091265 | 1209139 | 2015 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Acute-on-Chronic Liver Failure: A New Clinical Entity
ترجمه فارسی عنوان
نارسایی حاد مزمن کبد: یک نهاد بالینی جدید
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کلمات کلیدی
INRFiO2EASLACLFCLIFSequential Organ Failure Assessment - ارزیابی شکستگی ارگانهای متوالیEuropean Association for the Study of the Liver - انجمن اروپایی برای مطالعه کبدacute decompensation - تخفیف حادacute on chronic liver failure - در نارسایی مزمن کبدی حاد استCirrhosis - سیروزOrgan failures - شکست های ارگانالchronic liver failure - نارسایی مزمن کبدیInternational Normalized Ratio - نسبت عادی بین المللیprognosis - پیش شناخت بیماریSOFA - کاناپهFraction of inspired oxygen - کسری از اکسیژن الهام گرفته
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
چکیده انگلیسی
Patients hospitalized for an acute complication of cirrhosis who also have organ failure(s) are at high risk of short-term death. The term acute-on-chronic liver failure (ACLF) is used to characterize these patients. Until recently, there was no evidence-based definition of ACLF. The results of a large prospective observational European study called Chronic Liver Failure Consortium Acute-on-Chronic Liver Failure in Cirrhosis study were published in 2013 establishing diagnostic criteria for ACLF in a large series of hospitalized patients who had an acute complication of cirrhosis. In addition, this study described the natural history of ACLF. According to the Acute-on-Chronic Liver Failure in Cirrhosis study, ACLF is now considered a new clinical entity because it is distinct from traditional decompensated cirrhosis, based not only on the presence of organ failure(s) and high mortality rate but also on younger age, alcoholic etiology of cirrhosis, higher prevalence of some precipitating events (bacterial infections, active alcoholism), and higher level of systemic inflammation. ACLF is a new entity also because it cannot be explained entirely by severe sepsis or severe alcoholic hepatitis; a large proportion of cases are of unknown origin. ACLF should be considered as a whole that includes subcategories such as severe sepsis, severe alcoholic hepatitis, and others, which have yet to be defined. ACLF is a relatively common syndrome because it occurs in 31% of hospitalized patients with cirrhosis who have an acute complication of their liver disease. In these patients, ACLF is the most common cause of death.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Gastroenterology and Hepatology - Volume 13, Issue 5, May 2015, Pages 836-841
Journal: Clinical Gastroenterology and Hepatology - Volume 13, Issue 5, May 2015, Pages 836-841
نویسندگان
Richard Moreau, Vicente Arroyo,