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Respirology (Carlton, Vic.) · 2013

Decreased activities of daily living is a strong risk factor for liver injury by anti-tuberculosis drugs.

Сравнительное исследованиеСтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Horita Nobuyuki, Miyazawa Naoki, Yoshiyama Takashi, Tsukahara Toshinori, Takahashi Ryohei, Tsukiji Jun, Kato Hideaki, Kaneko Takeshi, Ishigatsubo Yoshiaki

Аннотация

BACKGROUND AND OBJECTIVE: We evaluated the association between activities of daily living and drug-induced liver injury by anti-tuberculosis drugs.

METHODS: This retrospective cohort study included adult inpatients with newly diagnosed smear-positive lung tuberculosis treated with standard regimen in two hospitals. (n = 346; 63.6 ± 20.3 years old; 106 (30.6%) females). Activities of daily living was divided into 'independent' (Barthel Index (BI) 80-100, 60.4%) and 'decreased' (BI 0-75, 39.6%) categories. Liver injury was defined as the withdrawal or change of treatment regimen on the basis of the following criteria: serum transaminase concentrations were more than three times the upper limit of normal range with jaundice and/or hepatitis symptoms, or more than five times the upper limit of the normal range.

RESULTS: Compared with 'independent' patients, patients with 'decreased' activities of daily living had odds ratios for liver injury of 4.2 (P < 0.001) in univariate analysis and 5.7 (P = 0.002) in logistic regression analysis after adjusting for other risk factors.

CONCLUSIONS: Decreased activity of daily living is a strong risk factor for liver injury among adult inpatients with newly diagnosed smear-positive lung tuberculosis treated using a standard regimen.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты