Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 전대원 | - |
dc.date.accessioned | 2019-12-10T20:07:19Z | - |
dc.date.available | 2019-12-10T20:07:19Z | - |
dc.date.issued | 2018-12 | - |
dc.identifier.citation | JOURNAL OF KOREAN MEDICAL SCIENCE, v. 33, no. 50, Article no. UNSP e299 | en_US |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.issn | 1598-6357 | - |
dc.identifier.uri | https://jkms.org/DOIx.php?id=10.3346/jkms.2018.33.e299 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/121151 | - |
dc.description.abstract | Background: Sarcopenia is associated with a poor prognosis in patients with liver cirrhosis. However, it is not known whether the rate of skeletal muscle depletion is also associated with a poor prognosis. We investigated the prognostic impact of the rate of skeletal muscle depletion in patients with liver cirrhosis.Methods: We included retrospectively all patients with liver cirrhosis who underwent both multiple computed tomography scans and hepatic venous pressure gradient (HVPG) measurements.Results: A total of 131 patients with liver cirrhosis were enrolled. The mean age of the patients was 53.7 years and alcoholic liver disease was the most common cause (61.8%). Sixty-four patients (48.9%) were diagnosed with sarcopenia. The median changes in skeletal muscle area per year (Delta SMA/y) were -0.89%. During a median follow-up period of 46.2 months (range, 3.4-87.6), 45 patients (34.4%) died. In multivariate analyses, age, Child-Pugh score, HVPG, presence of sarcopenia and Delta SMA/y were independently associated with mortality. Cumulative mortality was significantly higher in patients with Delta SMA/y < -2.4% than those with Delta SMA/y >= -2.4% (log-rank test, P < 0.001).Conclusion: Both the presence and rate of change of sarcopenia are independently associated with long-term mortality in patients with liver cirrhosis. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | en_US |
dc.subject | Liver Cirrhosis | en_US |
dc.subject | Sarcopenia | en_US |
dc.subject | Nutrition | en_US |
dc.subject | Mortality | en_US |
dc.subject | Prognosis | en_US |
dc.title | Presence of Sarcopenia and Its Rate of Change Are Independently Associated with Long-term Mortality in Patients with Liver Cirrhosis | en_US |
dc.type | Article | en_US |
dc.relation.no | 50 | - |
dc.relation.volume | 33 | - |
dc.identifier.doi | 10.3346/jkms.2018.33.e299 | - |
dc.relation.page | 1-10 | - |
dc.relation.journal | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.contributor.googleauthor | Jeong, Jae Yoon | - |
dc.contributor.googleauthor | Lim, Sanghyeok | - |
dc.contributor.googleauthor | Sohn, Joo Hyun | - |
dc.contributor.googleauthor | Lee, Jae Gon | - |
dc.contributor.googleauthor | Jun, Dae Won | - |
dc.contributor.googleauthor | Kim, Yongsoo | - |
dc.relation.code | 2018003141 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | noshin | - |
dc.identifier.researcherID | O-4529-2017 | - |
dc.identifier.orcid | https://orcid.org/0000-0002-2875-6139 | - |
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