Volume : VII, Issue : XI, November - 2017
Predictors of response to terlipressin plus albumin therapy in hepatorenal syndrome (HRS) type 1
Dr Shanid Abdulsathar
Abstract :
BACKGROUND AND AIM
Hepatorenal syndrome type1 (HRS1) is rapidly progressive form of renal failure occurring in cirrhosis. Terlipressin plus albumin is effective in reversing type 1 HRS .Since 1/3 to 1/2 of patients respond to treatment , predictors of response and survival would help identify the patients likely to benefit from treatment .Aim of the study was to find predictors of response to terlipressin plus albumin therapy in HRS1 and survival at 1 month and 3 months.
METHODS
64 adult patients with HRS1 from June 2013 –June 2016 included in this study. Patients were treated with terlipressin 1mg IV 6 hourly and IV albumin until creatinine <1.5 or develops complication /death/maximum upto 14 days. Primary outcome was reversal of HRS or death and secondary outcome was recurrence of HRS , side effects, transplant free survival at 30 and 90 days.
RESULTS
Of 64 patients 58 were treated with TAT . 34 patients (58.2%) recovered,24 patients (41.38%) not responded. Baseline s. creatinine was predictive of response to treatment (2.88±0.4 Vs 3.95± 1.2 ),P value 0.025. ROC curve with s.creatinine level of 3.25 was associated with sensitivity of 75 % , specificity of 85.7% . There was significant difference in the mean survival of responders and non responders (52 days Vs 7 days)
CONCLUSIONS
Baseline s.creatinine significantly correlates with HRS treatment response and there was significant difference in the mean survival of responders and non responders .
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DOI : 10.36106/ijar
Cite This Article:
Dr Shanid AbdulSathar, Predictors of response to terlipressin plus albumin therapy in hepatorenal syndrome (HRS) type 1,
INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-11 | November-2017
Number of Downloads : 1074
Dr Shanid AbdulSathar, Predictors of response to terlipressin plus albumin therapy in hepatorenal syndrome (HRS) type 1, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-11 | November-2017
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