Bleeding complications in acute liver failure.

Unlabelled: In patients with acute liver failure (ALF), elevated prothrombin time and thrombocytopenia can fuel a perception of a bleeding tendency. However, the incidence, site, risk factors, and clinical significance of bleeding complications have not been quantified in a large cohort of patients with ALF. We studied 1,770 adult patients enrolled in the ALF Study Group Registry between 1998 and 2016.

Thrombocytopenia Is Associated With Multi-organ System Failure in Patients With Acute Liver Failure.

Background & Aims: Acute liver failure (ALF) is a syndrome characterized by an intense systemic inflammatory response (SIRS) and multi-organ system failure (MOSF). Platelet-derived microparticles increase in proportion to the severity of the SIRS and MOSF, and are associated with poor outcome. We investigated whether patients with ALF develop thrombocytopenia in proportion to the SIRS, MOSF, and poor outcome.

Determinants of outcome among patients with acute liver failure listed for liver transplantation in the United States.

Analyses of outcomes after acute liver failure (ALF) have typically included all ALF patients regardless of whether they were listed for liver transplantation (LT). We hypothesized that limiting analysis to listed patients might provide novel insights into factors associated with outcome, focusing attention on disease evolution after listing. Listed adult ALF patients enrolled in the US Acute Liver Failure Study Group registry between 2000 and 2013 were analyzed to determine baseline factors associated with 21-day outcomes after listing.

Two-year outcomes in initial survivors with acute liver failure: results from a prospective, multicentre study.

Background & Aims: The long-term clinical outcomes in initial survivors with acute liver failure (ALF) are not well known. The aim of this study was to provide an overview of the 2-year clinical outcomes among initial survivors and liver transplant (LT) recipients that were alive 3 weeks after enrolment in the Acute Liver Failure Study Group (ALFSG).

Methods: Outcomes in adult ALFSG patients that were enrolled between 1998 and 2010 were reviewed.

Bayesian latent structure modeling of walking behavior in a physical activity intervention.

The analysis of walking behavior in a physical activity intervention is considered. A Bayesian latent structure modeling approach is proposed whereby the ability and willingness of participants is modeled via latent effects. The dropout process is jointly modeled via a linked survival model.

Quality of life is significantly impaired in long-term survivors of acute liver failure and particularly in acetaminophen-overdose patients.

Functional outcomes for long-term survivors of acute liver failure (ALF) are not well characterized. The aim of this prospective study was to determine health-related quality of life in long-term adult ALF survivors. Acute Liver Failure Study Group registry participants completed the Centers for Disease Control and Prevention Health-Related Quality of Life 14 and Short Form 36 (SF-36) questionnaires at 1- and/or 2-year follow-up study visits.

Quantifying the impact of gestational diabetes mellitus, maternal weight and race on birthweight via quantile regression.

Background: Quantile regression, a robust semi-parametric approach, was used to examine the impact of gestational diabetes mellitus (GDM) across birthweight quantiles with a focus on maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG).

Methods: Using linked birth certificate, inpatient hospital and prenatal claims data we examined live singleton births to non-Hispanic white (NHW, 135,119) and non-Hispanic black (NHB, 76,675) women in South Carolina who delivered 28-44 weeks gestation in 2004-2008.

Results: At a maternal BMI of 30 kg/m² at the 90(th) quantile of birthweight, exposure to GDM was associated with birthweights 84 grams (95% CI 57, 112) higher in NHW and 132 grams (95% CI: 104, 161) higher in NHB.

Imputational modeling of spatial context and social environmental predictors of walking in an underserved community: the PATH trial.

Background: This study examined imputational modeling effects of spatial proximity and social factors of walking in African American adults.

Purpose: Models were compared that examined relationships between household proximity to a walking trail and social factors in determining walking status.

Methods: Participants (N=133; 66% female; mean age=55 years) were recruited to a police-supported walking and social marketing intervention.

Foot and mouth disease revisited: re-analysis using Bayesian spatial susceptible-infectious-removed models.

The foot and mouth disease (FMD) outbreak in the United Kingdom in 2001 was modeled via the use of Bayesian spatial susceptible-infected-removed (SIR) models. In these models the underlying mean of the incident cases was modeled spatially and in time. Dependence structures at the parish level between previous and current cases were modeled either with individual dependence or with neighborhood dependencies.