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Genetic Ancestry, Race, and Severity of Acutely Decompensated Cirrhosis in Latin America

التفاصيل البيبلوغرافية
العنوان: Genetic Ancestry, Race, and Severity of Acutely Decompensated Cirrhosis in Latin America
المؤلفون: Farias, AQ, Curto Vilalta, A, Momoyo Zitelli, P, Pereira, G, Goncalves, LL, Torre, A, Diaz, JM, Gadano, AC, Mattos, AZ, Mendes, LSC, Alvares-da-Silva, MR, Bittencourt, PL, Benitez, C, Alves Couto, C, Mendizabal, M, Toledo, CL, Mazo, DFC, Castillo Barradas, M, Uson Raposo, EM, Padilla-Machaca, PM, Zarela Lozano Miranda, A, Malé-Velázquez, R, Castro Lyra, A, Dávalos-Moscol, MB, Pérez Hernández, JL, Ximenes, RO, Faria Silva, G, Beltrán-Galvis, OA, González Huezo, MS, Bessone, F, Rocha, TDS, Fassio, E, Terra, C, Marín, JI, Sierra Casas, P, de la Peña-Ramirez, C, Aguilar Parera, F, Fernandes, F, da Penha Zago-Gomes, M, Méndez-Guerrero, O, Marciano, S, Mattos, AA, Oliveira, JC, Guerreiro, GTS, Codes, L, Arrese, M, Nardelli, MJ, Silva, MO, Palma-Fernandez, R, Alcantara, C, Sánchez Garrido, C, Trebicka, J, Gustot, T, Fernández, J, Clària, J, Jalan, R, Angeli, P, Arroyo, V, Moreau, R, Carrilho, FJ, ACLARA Study Collaborators
المصدر: Gastroenterology , 165 (3) pp. 696-716. (2023)
بيانات النشر: Elsevier BV
سنة النشر: 2023
المجموعة: University College London: UCL Discovery
مصطلحات موضوعية: Systemic Inflammation, Ethnicity, Sociodemographic Data, Liver Transplantation, Outcomes
الوصف: Background & Aims: Genetic ancestry or racial differences in health outcomes exist in diseases associated with systemic inflammation (eg, COVID-19). This study aimed to investigate the association of genetic ancestry and race with acute-on-chronic liver failure (ACLF), which is characterized by acute systemic inflammation, multi-organ failure, and high risk of short-term death. / Methods: This prospective cohort study analyzed a comprehensive set of data, including genetic ancestry and race among several others, in 1274 patients with acutely decompensated cirrhosis who were nonelectively admitted to 44 hospitals from 7 Latin American countries. / Results: Three hundred ninety-five patients (31.0%) had ACLF of any grade at enrollment. Patients with ACLF had a higher median percentage of Native American genetic ancestry and lower median percentage of European ancestry than patients without ACLF (22.6% vs 12.9% and 53.4% vs 59.6%, respectively). The median percentage of African genetic ancestry was low among patients with ACLF and among those without ACLF. In terms of race, a higher percentage of patients with ACLF than patients without ACLF were Native American and a lower percentage of patients with ACLF than patients without ACLF were European American or African American. In multivariable analyses that adjusted for differences in sociodemographic and clinical characteristics, the odds ratio for ACLF at enrollment was 1.08 (95% CI, 1.03–1.13) with Native American genetic ancestry and 2.57 (95% CI, 1.84–3.58) for Native American race vs European American race. / Conclusions: In a large cohort of Latin American patients with acutely decompensated cirrhosis, increasing percentages of Native American ancestry and Native American race were factors independently associated with ACLF at enrollment.
نوع الوثيقة: article in journal/newspaper
وصف الملف: text
اللغة: English
العلاقة: https://discovery.ucl.ac.uk/id/eprint/10175974/1/1-s2.0-S0016508523008065-main.pdfTest; https://discovery.ucl.ac.uk/id/eprint/10175974Test/
الإتاحة: https://discovery.ucl.ac.uk/id/eprint/10175974/1/1-s2.0-S0016508523008065-main.pdfTest
https://discovery.ucl.ac.uk/id/eprint/10175974Test/
حقوق: open
رقم الانضمام: edsbas.5782217D
قاعدة البيانات: BASE
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