Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy
Abstract Background Acute fatty liver of pregnancy (AFLP) is a potentially lethal condition of pregnant women with a high mortality rate. Potential predictors related to postpartum recovery time and prognostic factors of AFLP are still unclear. This study aimed to evaluate potential predictors for p...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-10-01
|
Series: | BMC Pregnancy and Childbirth |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12884-020-03287-y |
id |
doaj-76790c26d00440a49b6707d3c0a0af04 |
---|---|
record_format |
Article |
spelling |
doaj-76790c26d00440a49b6707d3c0a0af042020-11-25T02:46:29ZengBMCBMC Pregnancy and Childbirth1471-23932020-10-012011810.1186/s12884-020-03287-yPotential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancyJun Chen0Ze-Bing Huang1Xue-Gong Fan2Xing-Wang Hu3Min Qi4Cheng-Jin Liao5Li-Yuan Long6Yan Huang7Department of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityDepartment of Infectious Diseases, Xiangya Hospital, Central South UniversityAbstract Background Acute fatty liver of pregnancy (AFLP) is a potentially lethal condition of pregnant women with a high mortality rate. Potential predictors related to postpartum recovery time and prognostic factors of AFLP are still unclear. This study aimed to evaluate potential predictors for prognosis and postpartum recovery time of AFLP. Methods We retrospectively analyzed the clinical data of 76 AFLP patients in our hospital from 2002 to 2017 and investigated potential predictors using univariate analysis and multivariate logistic regression analysis. Results Hepatic encephalopathy (HE) was found to be associated with prognosis in AFLP patients (P = 0.005, OR = 26.844). The postpartum recovery time analysis showed that AFLP patients with a age < 25 had the shortest recovery time, but no significant difference (P = 0.134, OR = 5.952). The postpartum recovery time of patients with liver failure (LF) was significantly prolonged compared to those without LF (P = 0.036, OR = 10.052). Cryoprecipitate, and plasma infusion showed no significant effect on prognosis or recovery time. Artificial liver support therapy (ALST) had no effect on prognosis, but it might affect postpartum recovery time with no statistical significance (P = 0.128, OR = 5.470). Conclusion HE is a potential predictor for prognosis of AFLP. LF is a potential predictor for postpartum recovery time.http://link.springer.com/article/10.1186/s12884-020-03287-yAcute fatty liver of pregnancyPotential predictorsPrognosisPostpartum recovery time |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jun Chen Ze-Bing Huang Xue-Gong Fan Xing-Wang Hu Min Qi Cheng-Jin Liao Li-Yuan Long Yan Huang |
spellingShingle |
Jun Chen Ze-Bing Huang Xue-Gong Fan Xing-Wang Hu Min Qi Cheng-Jin Liao Li-Yuan Long Yan Huang Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy BMC Pregnancy and Childbirth Acute fatty liver of pregnancy Potential predictors Prognosis Postpartum recovery time |
author_facet |
Jun Chen Ze-Bing Huang Xue-Gong Fan Xing-Wang Hu Min Qi Cheng-Jin Liao Li-Yuan Long Yan Huang |
author_sort |
Jun Chen |
title |
Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy |
title_short |
Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy |
title_full |
Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy |
title_fullStr |
Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy |
title_full_unstemmed |
Potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy |
title_sort |
potential predictors for prognosis and postpartum recovery time of acute fatty liver of pregnancy |
publisher |
BMC |
series |
BMC Pregnancy and Childbirth |
issn |
1471-2393 |
publishDate |
2020-10-01 |
description |
Abstract Background Acute fatty liver of pregnancy (AFLP) is a potentially lethal condition of pregnant women with a high mortality rate. Potential predictors related to postpartum recovery time and prognostic factors of AFLP are still unclear. This study aimed to evaluate potential predictors for prognosis and postpartum recovery time of AFLP. Methods We retrospectively analyzed the clinical data of 76 AFLP patients in our hospital from 2002 to 2017 and investigated potential predictors using univariate analysis and multivariate logistic regression analysis. Results Hepatic encephalopathy (HE) was found to be associated with prognosis in AFLP patients (P = 0.005, OR = 26.844). The postpartum recovery time analysis showed that AFLP patients with a age < 25 had the shortest recovery time, but no significant difference (P = 0.134, OR = 5.952). The postpartum recovery time of patients with liver failure (LF) was significantly prolonged compared to those without LF (P = 0.036, OR = 10.052). Cryoprecipitate, and plasma infusion showed no significant effect on prognosis or recovery time. Artificial liver support therapy (ALST) had no effect on prognosis, but it might affect postpartum recovery time with no statistical significance (P = 0.128, OR = 5.470). Conclusion HE is a potential predictor for prognosis of AFLP. LF is a potential predictor for postpartum recovery time. |
topic |
Acute fatty liver of pregnancy Potential predictors Prognosis Postpartum recovery time |
url |
http://link.springer.com/article/10.1186/s12884-020-03287-y |
work_keys_str_mv |
AT junchen potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT zebinghuang potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT xuegongfan potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT xingwanghu potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT minqi potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT chengjinliao potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT liyuanlong potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy AT yanhuang potentialpredictorsforprognosisandpostpartumrecoverytimeofacutefattyliverofpregnancy |
_version_ |
1724757933897547776 |