Research Article

Artificial Liver Support System Improves Short-Term Outcomes of Patients with HBV-Associated Acute-on-Chronic Liver Failure: A Propensity Score Analysis

Table 1

Clinical characteristics of the two groups studied at baseline.

CharacteristicsEntire cohortPropensity score-matched cohort
SMT (n = 412)ALSS (n = 378) valueSMT (n = 310)ALSS (n = 310) value

Age (y)44.0 (10.6)46.9 (11.4)0.09745.4 (11.1)46.8 (11.3)0.286
Sex, male351 (85.2)337 (86.0)0.097271 (87.4)274 (84.6)0.712
HBV-DNA (log copies/mL)5.1 (1.6)5.1 (2.0)0.6415.2 (1.1)5.1 (1.9)0.705
Alanine transaminase level (IU/L)388.5 (277.4)341.1 (326.5)0.010376.3 (239.8)360.4 (300.1)0.695
Total bilirubin level (mg/dl)22.1 (7.4)24.4 (7.0)0.00222.7 (7.4)23.9 (7.0)0.121
Serum albumin level (g/L)33.1 (5.9)32.1 (6.3)0.02733.1 (5.6)31.9 (5.4)0.149
Platelet count (×105/mm3) (SD)107.3 (56.3)103.8 (48.1)0.015105.3 (57.9)104.7 (45.8)0.893
White cell count (×109/L)9.1 (21.3)7.9 (3.3)0.0189.4 (24.1)7.6 (4.0)0.197
Serum creatinine level (mg/dl)82.3 (44.3)76.5 (30.6)0.00672.6 (23.7)68.5 (25.5)0.088
International normalized ratio2.5 (0.9)2.5 (0.6)0.7592.3 (0.8)2.4 (0.9)0.687
Serum sodium (mEq/L)137.6 (4.5)136.0 (4.1)<0.001135.7 (4.9)136.4 (3.7)0.181
Hepatic encephalopathy ≥ grade II9.5% (39/412)13.8% (52/378)0.05910.3% (32/310)14.2% (44/378)0.142
Cirrhosis158 (38.3)161 (42.6)0.225118 (38.1)133 (42.9)0.220
MELD score25.9 (5.2)24.8 (5.6)0.72125.1 (5.2)24.9 (5.6)0.594
COSSH-ACLF grade0.0910.985
 ACLF grade 1226 (54.9)235 (62.2)207 (66.8)209 (67.4)
 ACLF grade 2174 (42.2)131 (34.7)94 (30.3)92 (29.7)
 ACLF grade 312 (2.9)12 (3.2)9 (2.9)9 (2.9)
Nucleos(t)ide analogues<0.001<0.001
 Lamivudine205167155131
 Entecavir207182155157
 Tenofovir018014
 Telbivudine01108

Values are expressed as number and percentage or mean ± SD unless otherwise specified. SMT, standard medical therapy; ALSS, artificial liver support system; MELD, model for end-stage liver disease; COSSH-ACLF, Chinese Group on the Study of Severe Hepatitis B-ACLF.