Evidence map›Paper›PMID 34712321›Full record

ArticleGastroenterology research and practice2021

Prediction and Risk Factors for Prognosis of Cirrhotic Patients with Hepatic Encephalopathy.

Ying Peng, Qinglin Wei, Yun Liu, Zhenyu Wu, Hongjia Zhang, Hongbo Wu, Jin Chai

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Beyond Liver Function:Sultan Qaboos University medical journal · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ying PengCholestatic Liver Diseases Center and Department of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0003-4737-3712
Qinglin WeiDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0003-4866-0799
Yun LiuDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-6018-0221
Zhenyu WuDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0003-4172-2213
Hongjia ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-9702-2091
Hongbo WuDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0001-7408-1542
Jin ChaiCholestatic Liver Diseases Center and Department of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-8543-4566
Army Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsHepatic encephalopathy (HE) is characterized by recurrence and poor quality of life. Acute-on-chronic liver failure (ACLF) mainly occurs in patients with chronic liver diseases and often presents with HE. Several predictive models have been proposed to predict the outcomes of these patients. Our study is aimed at identifying associated risk factors and the prognostic accuracies of predictive models in HE patients with or without ACLF.

methodsPatients with liver cirrhosis were retrospectively enrolled. Risk factors were evaluated by multivariate regression analyses. The predictive capabilities of models were calculated using the receiver operating characteristic (ROC) curve analyses and compared by the DeLong tests. Outcomes were defined as in-hospital mortality, HE severity, and ACLF occurrence.

resultsIn multivariate regression analyses, serum biomarkers neutrophil and total bilirubin (TBIL) were independently correlated with in-hospital death. Alanine aminotransferase (ALT) and blood urea nitrogen (BUN) were independent serum biomarkers associated with HE severity. Hemoglobin, TBIL, BUN, and international normalized ratio (INR) were significant indicators associated with ACLF incidence. For prediction of in-hospital mortality, Child-Pugh was superior to the others in the whole patients, while NLR showed the best capability in the ACLF group.

conclusionIn cirrhotic patients present with HE, BUN is a risk factor associated with HE severity and ACLF incidence. Child-Pugh and NLR scores may be effective prognosticators in patients with HE.

Identifiers

PMID34712321
PMCPMC8546404
OpenAlexW3205742617

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.