Plasma diamine oxidase level predicts 6-month readmission for patients with hepatitis B virus-related decompensated cirrhosis.

Abstract

BACKGROUND AND AIMS:

Hepatitis B virus-related decompensated cirrhosis is difficult to cure but has a high readmission rate due to multiple complications. Our aim was to investigate the diagnostic potential value of plasma diamine oxidase (DAO) for 6-month readmission of patients with HBV-related decompensated cirrhosis.

METHODS:

A total of 135 patients with HBV-related decompensated cirrhosis were prospectively collected at the onset of discharge of hospital, and then were followed up for at least 6 months with the readmission as the primary outcome. The plasma DAO level was measured using enzyme linked immunosorbent assay. In addition, 120 age and sex matched patients with HBV-related compensated cirrhosis were included as controls.

RESULTS:

A total of 36 patients (36.7%) with decompensated cirrhosis admitted to hospital during the 6-month follow up. The plasma DAO level of readmission group [21.1 (14.5; 29.0) ng/ml] was significantly higher than that in the non-readmission group [12.7 (9.3; 18.0) ng/mL, P < 0.001]. Multivariate analysis showed that the plasma DAO level (HR = 1.102, P < 0.05) and hepatic encephalopathy (HE) (HR = 5.018, P < 0.05) were independent factors for 6-month readmission of decompensated cirrhosis. DAO level showed higher area under the curve of receiver operating characteristic (AUROC) than HE (0.769 vs. 0.598, P < 0.05) and Child-Pugh-Turcotte (CPT) score (0.769 vs. 0.652, P < 0.05) for predicting 6-month readmission rate, with the best cut-off value as 19.7 ng/mL. Furthermore, plasma DAO level (HR = 1.184, P < 0.05) was an independent factor and has the higher AUROC than CPT score for the onset of recurrent HE (0.905 vs. 0.738, P < 0.05) during the 6-month follow up.

CONCLUSIONS:

Plasma DAO level > 19.7 ng/mL predicts high rate of 6-month readmission in patients with HBV-related decompensated cirrhosis.

• Authors: Feng-Cai Li, Yu-Chen Fan, Yue-Kai Li, Kai Wang
• Journal: Virology journal (Virol J) Vol. 16 Issue 1 Pg. 115 (09 18 2019) ISSN: 1743-422X [Electronic] England
• PMID: 31533748 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Amine Oxidase (Copper-Containing)

Topics

• Adult
• Aged
• Amine Oxidase (Copper-Containing) (blood)
• Female
• Hepatitis B (blood, complications)
• Hepatitis B virus
• Humans
• Liver Cirrhosis (blood, complications, virology)
• Male
• Middle Aged
• Patient Readmission
• Prospective Studies