期刊
WORLD JOURNAL OF GASTROENTEROLOGY
卷 16, 期 19, 页码 2435-2439出版社
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v16.i19.2435
关键词
Alcoholic hepatitis; Mortality; Placebo
资金
- Chinese State Key Project for High Technology [2006AA02A308]
- National Key Technology RD Program [2008BA152B03]
- Science and Technology Foundation of Zhejiang Province [2008C13027-1]
AIM: To investigate the early mortality of placebo-treated alcoholic hepatitis patients. METHODS: Mortality data about alcoholic hepatitis patients who participated in randomized placebo-controlled trials were searched from PubMed, EMBASE, and Cochrane Library, extracted and analyzed. RESULTS: A total of 661 placebo-treated patients in 19 trials were included. The overall mortality rate was 34.19% with a median observation time of 160 d (range 21-720 d). Hepatic failure, gastrointestinal bleeding and infection were the three main causes of death, accounting for 55.47%, 21.17% and 7.30% of all deaths, respectively. One-month mortality data about 324 placebo-treated alcoholic hepatitis patients in 10 trials were reported with a pooled mortality rate of 20.37%. The one-month mortality rate of patients with moderate to severe alcoholic hepatitis tended to be higher than that of general patients (22.69% vs 10.93%, P < 0.05), whereas no significant difference was observed between the patients from North America or Europe (22.43% vs 18.45%, P > 0.05), neither any difference was found between the studies published before and after 1990 (18.18% vs 21.88%, P > 0.05). CONCLUSION: Alcoholic hepatitis is a severe liver disease with a high mortality rate, and hepatic failure, gastrointestinal bleeding and infection are the three main causes of death. (C) 2010 Baishideng. All rights reserved.
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