PROGNOSTIC VALUE OF THE INTRAVENOUS C-14 AMINOPYRINE BREATH TEST COMPARED TO THE CHILD-PUGH SCORE AND SERUM BILE-ACIDS IN 84 CIRRHOTIC-PATIENTS

被引:26
作者
BEUERS, U
JAGER, F
WAHLLANDER, A
ANSARI, H
KIRSCH, CM
机构
[1] UNIV MUNICH,KLINIKUM GROSSHADERN,DEPT INTERNAL MED 2,W-8000 MUNICH 70,GERMANY
[2] UNIV MUNICH,KLINIKUM GROSSHADERN,DEPT RADIOL,W-8000 MUNICH 70,GERMANY
[3] BIOMETR CTR THERAPEUT STUDIES,MUNICH,GERMANY
关键词
INTRAVENOUS AMINOPYRINE BREATH TEST; SERUM BILE ACIDS; CHILD-PUGH SCORE; LIVER CIRRHOSIS; PROGNOSIS;
D O I
10.1159/000200763
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The prognostic value of the intravenous C-14-aminopyrine breath test (ABT) in liver cirrhosis was compared to that of the well-established multiparametric Child-Pugh classification and that of serum bile acids, an endogenous parameter of liver function for which a prognostic value in patients with liver cirrhosis has been demonstrated previously. 84 patients with liver cirrhosis were studied. 32 of the patients died during the observation period. Survival was analyzed for periods of 3, 6 and 12 months after examination. For all chosen observation periods, the Child-Pugh score was of prognostic value. ABT gave prognostic information for periods of 6 and 12 months of survival, but was by far inferior to the Child-Pugh score. Serum bile acids in our population did not yield prognostic information at any time interval studied. We conclude that in our group of cirrhotic patients, the prognostic value of the Child-Pugh classification was by far superior to quantitative liver function tests in predicting survival.
引用
收藏
页码:212 / 218
页数:7
相关论文
共 30 条
  • [1] SUPERIORITY OF THE CHILD-PUGH CLASSIFICATION TO QUANTITATIVE LIVER-FUNCTION TESTS FOR ASSESSING PROGNOSIS OF LIVER-CIRRHOSIS
    ALBERS, I
    HARTMANN, H
    BIRCHER, J
    CREUTZFELDT, W
    [J]. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1989, 24 (03) : 269 - 276
  • [2] THE AMINOPYRINE BREATH TEST DOES NOT CORRELATE WITH HISTOLOGIC DISEASE SEVERITY IN PATIENTS WITH CHOLESTASIS
    BAKER, AL
    KRAGER, PS
    KOTAKE, AN
    SCHOELLER, DA
    [J]. HEPATOLOGY, 1987, 7 (03) : 464 - 467
  • [3] RECEIVER OPERATING CHARACTERISTIC ANALYSIS OF DIAGNOSTIC SKILL
    BERWICK, DM
    THIBODEAU, LA
    [J]. MEDICAL CARE, 1983, 21 (09) : 876 - 885
  • [4] QUANTITATIVE ASSESSMENT OF DERANGED HEPATIC-FUNCTION - A MISSED OPPORTUNITY
    BIRCHER, J
    [J]. SEMINARS IN LIVER DISEASE, 1983, 3 (04) : 275 - 284
  • [5] Child CG TJ, 1964, LIVER PORTAL HYPERTE, P50
  • [6] PROGNOSTIC VALUE OF CHILD-TURCOTTE CRITERIA IN MEDICALLY TREATED CIRRHOSIS
    CHRISTENSEN, E
    SCHLICHTING, P
    FAUERHOLDT, L
    GLUUD, C
    ANDERSEN, PK
    JUHL, E
    POULSEN, H
    TYGSTRUP, N
    [J]. HEPATOLOGY, 1984, 4 (03) : 430 - 435
  • [7] CONN HO, 1979, HEPATIC COMA SYNDROM, P169
  • [8] SIMULTANEOUS ADMINISTRATION OF MULTIPLE MODEL SUBSTRATES TO ASSESS HEPATIC DRUG CLEARANCE
    CROM, WR
    WEBSTER, SL
    BOBO, L
    TERESI, ME
    RELLING, MV
    EVANS, WE
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 1987, 41 (06) : 645 - 650
  • [9] AMINOPYRINE BREATH TEST PREDICTS SURGICAL RISK FOR PATIENTS WITH LIVER-DISEASE
    GILL, RA
    GOODMAN, MW
    GOLFUS, GR
    ONSTAD, GR
    BUBRICK, MP
    [J]. ANNALS OF SURGERY, 1983, 198 (06) : 701 - 704
  • [10] HOFMANN AF, 1982, HEPATOLOGY, V2, P512