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...

Full description

Bibliographic Details
Main Authors: Jun Chen, Ze-Bing Huang, Xue-Gong Fan, Xing-Wang Hu, Min Qi, Cheng-Jin Liao, Li-Yuan Long, Yan Huang
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