Status:

COMPLETED

A Prospective Study of Application of Platelet Mapping in HBV-related Acute-on-chronic-liver Failure in China

Lead Sponsor:

Nanfang Hospital, Southern Medical University

Conditions:

Thrombelastography,Acute on Chronic Liver Failure, Platelet

Eligibility:

All Genders

18-80 years

Brief Summary

Ineffective hemostasis or a paradoxical prothrombotic state of Acute-on-chronic liver disease (ACLF) has been well established. Thrombelastography measures the dynamics of thrombin production and prov...

Eligibility Criteria

Inclusion

  • patient with previously diagnosed or undiagnosed HBV related chronic liver disease/cirrhosis
  • INR≥1.5 and total bilirubin≥85μmol/L

Exclusion

  • INR≤1.5 or total bilirubin≤85μmol/L;
  • underlying chronic liver disease was other than chronic HBV infection related;
  • those who had hepatocellular carcinoma or other types of malignancies;
  • obstructive biliary diseases or other disease lead to bilirubin evaluation;
  • those who had acute hemorrhage one week before admission
  • those who received platelet, cryo transfusion or plasmapheresis one week before admission
  • using steroid or immunosuppressant or antiplatelet or anticoagulant drugs in 4 weeks
  • any kind of decompensation which persisted over a month
  • pregnancy and breastfeeding
  • those who received liver transplantation or kidney transplantation;
  • combine with other disease lead to organ failure including heart failure (NYHA IV),respiratory failure(PaO2\<60mmHg),renal insufficiency(CKD 5) and conscious disturbance (GCS\<8)
  • readmission;
  • death within 24 hours.

Key Trial Info

Start Date :

October 30 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 13 2018

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT03281278

Start Date

October 30 2017

End Date

August 13 2018

Last Update

June 6 2019

Active Locations (1)

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Nanfang Hospital

Guangzhou, Guangdong, China, 510515