Relative Adrenal Insufficiency in Patients with Cirrhosis: A Systematic Review and Meta-Analysis
Autor: | Kwang Yong Shim, Kyong Joo Lee, Gaeun Kim, Soon Koo Baik, Moon Young Kim, Ji Hye Huh |
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Rok vydání: | 2017 |
Předmět: |
Liver Cirrhosis
medicine.medical_specialty Cirrhosis Physiology Cochrane Library Gastroenterology Sepsis 03 medical and health sciences 0302 clinical medicine Hepatorenal syndrome Risk Factors hemic and lymphatic diseases Internal medicine medicine Adrenal insufficiency Humans Prospective Studies 030212 general & internal medicine Survival rate business.industry Hepatology medicine.disease Meta-analysis 030211 gastroenterology & hepatology business Adrenal Insufficiency |
Zdroj: | Digestive Diseases and Sciences. 62:1067-1079 |
ISSN: | 1573-2568 0163-2116 |
Popis: | Relative adrenal insufficiency (RAI) is frequently observed in patients with cirrhosis. We sought to identify evidence in the literature regarding the impact of RAI on clinical outcomes in cirrhotic patients. We conducted a systematic review (SR) and meta-analysis (MA) using the Ovid-MEDLINE, EMBASE, and Cochrane Library databases to identify relevant studies in the literature. Of the 182 studies identified, 16 were eligible according to our inclusion criteria. The prevalence of RAI was 49.4% (744/1507), and cirrhotic patients with acute critical illnesses such as sepsis were more likely to have RAI compared to those without critical illnesses (P |
Databáze: | OpenAIRE |
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