Evidence map›Paper›PMID 36199980›Full record

ArticleCanadian journal of gastroenterology & hepatology2022

Autoimmune Hepatitis with Acute Presentation: Clinical, Biochemical, and Histological Features of 126 Patients.

Álvaro Urzúa, Carolina Pizarro, Abraham Gajardo, Rafael Poniachik, Claudia Pavez, Máximo Cattaneo, Javier Brahm, Laura Carreño, Jaime Poniachik

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Review
  5. [Pathological characteristics and diagnostic criteria of autoimmune hepatitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  6. Review
  7. A Closer Look into Autoimmune Liver Diseases.International journal of molecular sciences · 2025
    Review
  8. Review
  9. 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

9 authors at 2 institutions in 1 country.

Álvaro UrzúaHospital Clínico Universidad de Chile, Department of Internal Medicine, Section of Gastroenterology, Santiago, Chile.ORCID 0000-0002-8059-8844
Carolina PizarroHospital Clínico Universidad de Chile, Department of Internal Medicine, Section of Gastroenterology, Santiago, Chile.
Abraham GajardoHospital Clínico Universidad de Chile, Intensive Care Unit, Santiago, Chile.ORCID 0000-0002-6387-3779
Rafael PoniachikHospital Clínico Universidad de Chile, School of Medicine, Santiago, Chile.ORCID 0000-0002-2505-983X
Claudia PavezHospital Clínico Universidad de Chile, Department of Internal Medicine, Section of Gastroenterology, Santiago, Chile.ORCID 0000-0003-3801-7724
Máximo CattaneoHospital Clínico Universidad de Chile, Department of Internal Medicine, Section of Gastroenterology, Santiago, Chile.ORCID 0000-0002-1359-8764
Javier BrahmClínica Las Condes, Department of Gastroenterology, Santiago, Chile.
Laura CarreñoHospital Clínico Universidad de Chile, Department of Pathology, Santiago, Chile.ORCID 0000-0002-1600-1791
Jaime PoniachikHospital Clínico Universidad de Chile, Department of Internal Medicine, Section of Gastroenterology, Santiago, Chile.ORCID 0000-0001-7958-3357
Hospital Clínico de la Universidad de Chile · CLClínica Las Condes · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Autoimmune hepatitis (AIH) is a chronic liver disease with a relevant inflammatory component and an unknown etiology. Evidence for clinical characteristics and risk factors in large cohorts of patients with acute AIH (AAIH) is lacking. We clinically characterized patients with AAIH, the prevalence of a combined adverse outcome (death or liver transplantation (LT)), and its risk factors. Methods: A retrospective study of adult patients diagnosed with AAIH at three centers (Santiago, Chile; 2000-2018) was conducted. Clinical and laboratory characteristics were obtained. A liver biopsy was performed for all patients. Descriptive statistics and logistic regression models were used. Results: A total of 126 patients were admitted; 77% were female, 33 (26.2%) had a severe presentation, and 14 (11.1%) had a fulminant presentation. Overall, 24 patients (19.0%) lacked typical autoantibodies, and 26.2% had immunoglobulin G levels in the normal range. The most frequent histological findings were plasma cells (86.5%), interface hepatitis (81.7%), and chronic hepatitis (81.0%). Rosettes were uncommon (35.6%). Advanced fibrosis was present in 27% of patients. Combined adverse outcomes occurred in 7.9% of cases, all fulminant with histological cholestasis. Alkaline phosphatase, bilirubin, and prothrombin less than 50% were independent risk factors for in-hospital death or LT (

Indexed as

CholestasisHepatitis, AutoimmuneAdrenal Cortex HormonesAdultAlkaline PhosphataseAutoantibodiesBilirubinFemaleHospital MortalityHumansImmunoglobulin GLiverMaleProthrombinRetrospective StudiesAdrenal Cortex HormonesAlkaline PhosphataseAutoantibodiesBilirubinImmunoglobulin GProthrombin

Identifiers

PMID36199980
PMCPMC9529506
OpenAlexW4297103639

What OpenQuestion holds

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LicenceCC BY
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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.