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Wando Mount Pleasant Library
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Clinical features of individuals with laboratory values suggestive of advanced liver fibrosis when first treated for alcohol use disorder.
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- Author(s): Zuluaga, Paola; Fuster, Daniel; Blanes, Rafael; Hernández‐Rubio, Anna; Miquel, Laia; Torrens, Marta; Rubio, Gabriel; Bolao, Ferrán; Liangpunsakul, Suthat; Abellí‐Deulofeu, Enric; Rodriguez de Fonseca, Fernando; Muga, Robert
- Source:
Alcohol: Clinical & Experimental Research; Jul2024, Vol. 48 Issue 7, p1313-1321, 9p- Subject Terms:
ALCOHOLISM treatment; SUBSTANCE abuse treatment; COMPLICATIONS of alcoholism; CROSS-sectional method; MIDDLE-income countries; CIRRHOSIS of the liver; RESEARCH funding; T-test (Statistics); PRIMARY health care; LOGISTIC regression analysis; SYMPTOMS; DESCRIPTIVE statistics; MULTIVARIATE analysis; ODDS ratio; RESEARCH; STATISTICS; DATA analysis software; CONFIDENCE intervals; MEDICAL screening; BIOMARKERS; LOW-income countries - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Effective screening for alcohol‐associated liver disease is relevant in the context of chronic, excessive alcohol consumption. Patients with alcohol‐associated liver disease are often not diagnosed until their liver disease is decompensated. We analyzed the prevalence and associations of Fibrosis‐4 index (FIB‐4) values suggestive of advanced liver fibrosis in patients referred for their first treatment of alcohol use disorder (AUD). Methods: We conducted a cross‐sectional, multicenter study of noncirrhotic individuals referred for their first AUD treatment between March 2013 and April 2021. We obtained sociodemographic data, substance use characteristics, and blood samples at admission. We considered a FIB‐4 value ≥2.67 suggestive of advanced liver fibrosis and used logistic regression analyses to identify features associated with this value. Results: We included 604 patients (67% male), with a median age at admission of 48 years [IQR: 41–56 years]. The median duration of regular alcohol consumption was 21 years [IQR: 18–30 years] and the median alcohol consumption was 105 standard drink units (SDU)/week [IQR: 63–160 SDU/week]. A FIB‐4 value ≥ 2.67 was present in 19.3% of cases. These patients reported more frequent binge drinking (75.4% vs. 66%, p = 0.05) than those with FIB‐4 values below 2.67. In multivariate analysis, a history of binge drinking (OR 1.9, 95% CI, 1.05–3.47), anemia (OR 2.95, 95% CI, 1.42–6.11), leukopenia (OR 7.46, 95% CI, 2.07–26.8), and total serum bilirubin >1 mg/dL (OR 6.46, 95% CI, 3.57–11.7) were independently associated with FIB‐4 values ≥2.67. Conclusions: One in five patients admitted to treatment for AUD without evidence of decompensated liver disease have FIB‐4 values suggestive of advanced liver fibrosis. The presence of a binge drinking history, anemia, leukopenia, and elevated bilirubin levels is associated with high FIB‐4 values. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Alcohol: Clinical & Experimental Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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