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03 November 2020: Original Paper

Comorbidity Burden May Be Associated with Increased Mortality in Patients with Severe Acute Liver Injury Referred for Liver Transplantation

Lindsey Steiner-Temnykh 1ABCDEF , Lara Dakhoul 2ABCDEF , James Slaven 3ACDE , Lauren Nephew 2BCDEF , Kavish R. Patidar 2BCDEF , Eric Orman 2BCDEF , Archita P. Desai 2BCDEF , Eduardo Vilar-Gomez 2BCDEF , Chandrashekhar Kubal 4BCDEF , Burcin Ekser 4BCDEF , Naga Chalasani 2ABCDEF , Marwan Ghabril 2ABCDEF*

DOI: 10.12659/AOT.926453

Ann Transplant 2020; 25:e926453

Supplementary Table 4 The association of the Charlson Comorbidity Index with 30-day mortality or liver transplantation by multiple logistic regression, and 90-day mortality by multivariable competing risk regression analyses when modeled in the 114 patients with acute liver failure with different severity of illness scores.

Model covariates*MELD model*CLIF-SOFA modelALFSG modelKings College Criteria model
,# ,#
Charlson Comorbidity Index1.14 (0.9–1.5)0.31.03 (0.8–1.3)0.81.19 (0.9–1.5)0.161.08 (0.9–1.3)0.5
Underlying liver disease0.5 (0.1–2.1)0.30.9 (0.3–3.2)0.90.9 (0.3–3.5)0.91.4 (0.5–4.2)0.6
Charlson Comorbidity Index1.14 (0.98–1.33)0.081.11 (0.96–1.3)0.161.14 (0.98–1.32)0.071.11 (0.97–1.3)0.13
Underlying liver disease0.4 (0.1–1.2)0.110.7 (0.3–1.6)0.40.7 (0.3–1.8)0.40.7 (0.3–1.6)0.4
ALFSG – Acute Liver Failure Study Group; CLIF-SOFA – chronic liver failure-sequential organ failure assessment; KCC – Kings College Criteria; MELD – model for endstage liver disease.
* Analyses were controlled for gender and APAP etiology of liver injury based on their impact in the non-adjusted analysis (p-value ≤0.1). The results were similar when the multiple logistic regression was controlled for interactions of gender and APAP etiology of liver disease.
# Analysis was controlled for patient age based on its impact in the unadjusted analysis (p-value ≤0.1).

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358