Research Article

Factors Prognostic of Survival in Liver Transplant Recipients with Hepatitis B Virus Related Acute-on-Chronic Liver Failure

Table 2

Univariate analysis of factors associated with survival after LT in recipients with HBV-ACLF.

CharacteristicsSurvived (n = 291)Died (n = 32) value

Recipient
Age (years)45.0 (22.0–70.0)50.5 (24.0–62.0)0.019
Male, n (%)271 (93.1)30 (93.8)0.625
Body mass index (kg/m2)23.4 (15.0–35.9)24.6 (17.3–28.7)0.301
Ascites, n (%)216 (74.2)26 (81.3)0.262
Laboratory data
 Total bilirubin (μmol/L)434.6 (87.7–850.9)418.7 (233.0–747.7)0.717
 Serum creatinine (μmol/L)68.5 (23.0–725.1)84.1 (34.5–529.3)0.054
 Serum urea (mmol/L)5.4 (0.9–56.5)6.7 (1.2–36.9)0.048
 International normalised ratio2.6 (1.0–14.7)2.9 (1.5–6.5)0.190
 Serum sodium (mmol/L)137.0 (114.2–156.9)135.6 (122.9–144.3)0.132
 White blood cells (×109/L)7.2 (1.4–37.6)10.0 (2.9–42.6)0.002
 Neutrophils (×109/L)5.3 (0.9–33.5)7.8 (0.3–39.3)0.008
 Haemoglobin (g/L)103.0 (52.0–164.0)106.5 (69.0–143.0)0.585
 Platelets (×109/L)65.0 (9.0–292.0)75.0 (25.0–300.0)0.080
Grade of HBV-ACLF, n (%)0.008
 HBV-ACLF 1105 (93.8)7 (6.2)
 HBV-ACLF 2134 (91.8)12 (8.2)
 HBV-ACLF 352 (80.0)13 (20.0)
Pretransplant scores
 MELD27.9 (13.9–48.2)31.3 (18.1–46.9)0.068
 MELD-Na29.8 (13.9–66.4)34.5 (20.1–48.6)0.033
 CLIF-C ACLFs43.6 (24.4–63.8)49.4 (33.7–65.6)0.000
 COSSH-ACLFs7.1 (4.9–16.3)8.0 (5.4–12.2)0.017
 COSSH-ACLF IIs7.8 (5.2–11.6)8.8 (6.5–11.4)0.001

Donor
Age (years)46.0 (6.0–70.0)37.0 (15.0–60.0)0.062
Male, n (%)243 (83.5)28 (87.5)0.387
Body mass index (kg/m2)23.0 (12.9–59.0)22.1 (15.2–31.3)0.187
Fatty liver, n (%)73 (25.1)5 (15.6)0.235
HBsAg positive, n (%)27 (9.3)8 (25.0)0.013
Donation after cardiac death, n (%)7 (2.4)2 (6.3)0.210
Cardiopulmonary resuscitation, n (%)47 (16.2)6 (18.8)0.706
Laboratory data
 Total bilirubin (μmol/L)14.0 (2.2–81.9)12.4 (4.4–25.0)0.274
 Serum creatinine (μmol/L)89.5 (16.0–648.0)70.1 (31.0–376.0)0.402
 International normalised ratio1.1 (0.8–3.0)1.1 (0.9–7.3)0.280
 Serum sodium (mmol/L)145.7 (123.1–195.0)143.1 (128.1–173.0)0.476
 Cold ischaemia time (hours)7.5 (0.9–13.4)8.5 (4.8–12.1)0.016