Prognostic significance of insulin-like growth factor-I serum levels in acute decompensation of cirrhosis

被引:6
作者
Colombo, Bruno da Silveira [1 ]
Ronsoni, Marcelo Fernando [1 ]
Soares e Silva, Pedro Eduardo [1 ]
Fayad, Leonardo [1 ]
Wildner, Leticia Muraro [2 ]
Bazzo, Maria Luiza [2 ]
Dantas-Correa, Esther Buzaglo [1 ]
Narciso-Schiavon, Janaina Luz [1 ]
Schiavon, Leonardo Lucca [1 ]
机构
[1] Univ Fed Santa Catarina, Div Gastroenterol, Florianopolis, SC, Brazil
[2] Univ Fed Santa Catarina, Dept Clin Anal, Florianopolis, SC, Brazil
关键词
Liver cirrhosis; IGF-I; ascites; portal hypertension; FACTOR BINDING-PROTEINS; CHRONIC LIVER-FAILURE; ADULT PATIENTS; IGF-I; DISEASE; TRANSPLANTATION; MANAGEMENT; SURVIVAL; HORMONE; IGFBP-3;
D O I
10.1080/1354750X.2016.1252949
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Context: IGF-I serum levels are suppressed in cirrhosis, but its prognostic significance is unknown. Objectives: To investigate the prognostic value of IGF-I in patients admitted for acute decompensation of cirrhosis. Materials and methods: Cohort study that included 103 patients. IGF-I was measured by enzymelinked immunosorbent assay (ELISA). Results: Ninety-day mortality was 26.2% and it was independently associated with MELD, age and IGFI. The Kaplan-Meier survival probability at 90 days was 94.3% in patients with IGF-I >= 13 mu g/mL and 63.2% for patients with IGF-I < 13 ng/mL (p = .001). Discussion and conclusion: IGF-I levels are independently associated with mortality in acute decompensation of cirrhosis.
引用
收藏
页码:127 / 132
页数:6
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