Research Article

Combined Age with Mean Decrease Rates of Total Bilirubin and MELD Score as a Novel and Simple Clinical Predictor on 90-Day Transplant-Free Mortality in Adult Patients with Acute Liver Failure Undergoing Plasma Exchange: A Single-Center Retrospective Study

Table 2

Univariate analysis of 90-day transplant-free mortality in adult patients with ALF undergoing PE.

VariableDeath group (N = 23)Survival group (N = 50)X2/t/Z

Gender (male/female)20/336/141.9730.160
Age55.43 ± 13.9145.70 ± 11.19−3.1940.002
Height1.71 ± 0.071.70 ± 0.09−0.7640.447
Weight72.26 ± 11.4669.94 ± 11.11−0.8210.414
BMI24.54 ± 2.6224.36 ± 3.53−0.2150.830
Total bilirubin before PE464.53 ± 145.97440.91 ± 150.51−0.6280.532
Direct bilirubin before PE383.00 ± 137.92350.06 ± 130.73−0.9830.329
Indirect bilirubin before PE81.52 ± 54.0891.40 ± 51.420.7500.456
Prothrombin activity before PE31.58 ± 13.1929.46 ± 11.49−0.6180.537
MELD score before PE26.55 ± 5.7726.72 ± 6.070.1140.909
SOFA score before PE5.43 ± 1.244.94 ± 1.04−1.6220.105
Mean decrease rate of total bilirubin−1.22 ± 20.0816.46 ± 14.17−3.752≤0.001
Mean increase rate of prothrombin activity2.91 ± 27.3515.25 ± 13.182.0570.048
Mean decrease rate of MELD score−7.60 ± 14.948.59 ± 8.034.881≤0.001
Decrease rate of total bilirubin after the first PE0.64 ± 24.6016.42 ± 17.773.1120.003
Increase rate of prothrombin activity after the first PE7.09 ± 39.1029.52 ± 26.162.5050.018
Decrease rate of MELD score after the first PE−0.05 ± 20.6811.40 ± 11.202.4940.019

ALF, acute liver failure; PE, plasma exchange; BMI, body mass index; MELD score, model for end-stage liver disease; SOFA score, sequential organ failure assessment score.