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Reduction in acute kidney injury stage predicts survival in patients with type-1 hepatorenal syndrome.


ABSTRACT:

Background

Hepatorenal syndrome type 1 (HRS-1), a form of acute kidney injury (AKI) in cirrhosis, has a median survival of days to weeks if untreated. The impact of reduction in AKI stage on overall survival in cirrhosis, independent of HRS reversal, is unclear.

Methods

The Randomized, placEbo-controlled, double-blind study to confirm the reVERSal of HRS-1 with terlipressin study assessed terlipressin versus placebo, both with albumin, as treatment for HRS-1 for ≤14 days. Renal dysfunction severity was categorized by AKI stage at enrollment. Baseline patient characteristics were evaluated as predictors of AKI improvement using a multivariate model; the association between AKI stage reduction and 90-day survival was assessed using linear regression.

Results

A total of

SUBMITTER: Wong F 

PROVIDER: S-EPMC7473801 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature