Independent prognostic factors in patients with liver cirrhosis.
OBJECTIVE
Evaluation of the urgency of the liver transplantation in individual patients may help to prioritize patients at risk of death. Consequently we undertook the search for independent prognostic factors in patients with liver cirrhosis.


METHODS
The study group was composed of 219 patients with liver cirrhosis, treated in our Department, from 1996 to 2005. Patients' files were examined for details of physical findings, results of laboratory examinations, and patients' survival. Prognostic significance of 15 variables was analyzed. All prognostic factors which turned out to be statistically significant in univariate analysis were included in the Cox proportional hazard model.


RESULTS
Child-Turcotte-Pugh (CTP) score B (p<0.001; hazard ratio (HR): 13.33), CTP score C (p<0.001; HR=7.45), presence of hepato-renal syndrome (p<0.001; HR=3.54), history of esophageal bleeding (p=0.048; HR=1.63) and presence of peripheral edema (p=0.034; HR=1.61) were found to be independently associated with survival. Model of End-stage Liver Disease score, etiology of cirrhosis, sex, ascites, bacterial spontaneous peritonitis, encephalopathy, serum creatinine concentration, INR and serum bilirubin concentration were shown to be significantly associated with patients' prognosis, however not independently.


CONCLUSIONS
Analysis of presence of common clinical symptoms is crucial for evaluation of patients' prognosis.
Piekarska
Anna
A
Department of Infectious Diseases and Hepatology, University of Lodz, Lodz, Poland. annapiekar@op.pl
Zboinska
Joanna
J
Szymczak
Wieslaw
W
Kuydowicz
Jan
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003661:Decision Support Techniques; D005260:Female; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000401:mortality; D006801:Humans; D053208:Kaplan-Meier Estimate; D008103:Liver Cirrhosis / Q000145:classification / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality; D017093:Liver Failure / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000401:mortality; D008111:Liver Function Tests; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011379:Prognosis; D016016:Proportional Hazards Models; D055815:Young Adult