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15 January 2022: Database Analysis

Prediction of Patient Survival with Psoas Muscle Density Following Transjugular Intrahepatic Portosystemic Shunts: A Retrospective Cohort Study

Biyu Zhang ABCDEF , Weimin Cai ABCDEF , Feng Gao BE , Xinran Lin BC , Ting Qian F , Kaier Gu B , Bingxin Song B , Tanzhou Chen A*

DOI: 10.12659/MSM.934057

Med Sci Monit 2022; 28:e934057

Table 3 Characteristics of the study population, stratified by PMD measurement.a

VariablesAll patients n=273Low PMD n=102High PMD n=171P valueb
Basic information
Survival24279163
Age, y53.54±10.5158.68±8.1050.47±10.61
Sex
 Male194611330.002
 Female794138
BMI22.87±3.1524.08±3.4922.29±2.830.016
Hypertension2717100.004
Smoking10533720.109
Splenectomy229130.720
Etiology of cirrhosis0.217
 Alcoholic532330
 Viral (HBV or HCV)15150101
 Both alcohol and viral351223
 Othersc 341717
Reasons for TIPS0.099
 EGVB24687159
 RF1385
 Othersd 1477
TIPS targeted puncture0.007
 Left branch of the intrahepatic portal vein19966133
 Right branch of the intrahepatic portal vein613031
 Otherse 1367
Stent-graft diameters, mm8 (8–9)8 (8–10)8 (8–9)0.002
 RBC, ×103.02±0.712.86±0.683.11±0.720.006
 WBC, ×105.06±3.595.22±4.004.96±3.330.566
 Lymphocyte, ×100.99±0.870.95±0.611.01±1.010.580
 Neutrophil, ×103.34±2.683.50±2.973.24±2.490.447
 Platelet, ×1081.42±61.9586.23±63.5778.56±60.970.324
 Hemoglobin, g/L85.78±24.7483.50±21.4487.13±26.490.241
 Albumin, g/L30.18±5.3928.97±5.9830.89±4.880.004
 Total bilirubin, μmol/L24.30±17.6025.93±17.9023.33±17.400.239
 ALT, U/L43.02±106.9840.66±75.2044.43±122.250.778
 AST, U/L55.24±100.3256.39±63.2154.55±117.160.884
 Serum creatinine, μmol/L66.15±17.0666.22±30.9566.11±17.600.970
 Serum sodium, mmol/L137.44±4.37137.22±4.66137.56±4.210.526
 Prothrombin time, s17.34±2.6717.72±3.5217.11±1.980.067
 INR1.42±0.241.42±0.251.42±0.230.986
 Child-Pugh score7 (6–9)7 (6–9)9 (8–10)
 MELD score11.45 (9.76–13.46)11.69 (9.59–14.02)11.18 (9.82–13.20)0.224
 MELD-Na score10.91 (7.47–14.50)12.22 (7.31–15.27)10.62 (7.44–14.07)0.207
ALT – alanine aminotransferase; AST – aspartate aminotransferase; BMI – body mass index; EGVB – esophageal gastric-fundus variceal bleeding; HBV – hepatitis B virus; HCV – hepatitis C virus; HU – Hounsfield units; INR – international standardization ratio; MELD – model for end-stage liver disease; MELD-Na – composite index of model for end-stage liver disease and serum sodium; PMD – psoas muscle density; RBC – red blood cell count; RF – refractory ascites; TIPS – transjugular intrahepatic portosystemic shunt; WBC – white blood cell count.
a Descriptive statistics are expressed as numbers or mean values (±SD), as appropriate. Continuous variables are expressed as means±SD or medians with interquartile ranges.
b The test or the Mann-Whitney U test was used to compare 2 groups, and χ test or Fisher exact test was used to compare categorical variables.
c Others included primary biliary cirrhosis, autoimmune diseases, Budd-Chiari syndrome, and cryptogenic cirrhosis.
d Others included preventive therapy, portal system thrombosis, and alleviation of abdominal discomfort.
e Others included portal vein trunk, right branches of the portal vein, and confluence of the left branches of the portal vein.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750