Clinical characteristics of patients with hepatitis and cirrhosis and the construction of a prediction model  

作　　者：Yu-Shuang Huang Wei Gao Ai-Jun Sun Chun-Wen Pu Shuang-Shuang Xu 

机构地区：[1]Department of Infectious Diseases,Dalian Public Health Clinical Center,Dalian 116031,Liaoning Province,China [2]Department of Gastroenterology,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,Liaoning Province,China [3]Dalian Public Health Clinical Center,Dalian Municipal Research Institute for Public Health,Dalian 116031,Liaoning Province,China

出　　处：《World Journal of Hepatology》2025年第2期54-64,共11页世界肝病学杂志(英文)

基　　金：Supported by the“Climbing Program”Construction Project“High Peak Project”Department of Major Infectious Disease Prevention and Control.

摘　　要：BACKGROUND Hepatitis B-associated cirrhosis is an important disease burden in China.However,there is a lack of effective predictors in clinical practice to drive delivery and enable early treatment to delay disease progression.AIM To analyzing the clinical characteristics of patients with hepatitis and cirrhosis,the nomogram model was established and validated.METHODS The clinical data of 1070 patients with hepatitis B who were treated in our hospital from October 2015 to July 2022 were collected.In a 7:3 ratio,749 cases were divided into training cohorts and 321 cases were divided into validation cohorts.In addition,the training cohort and validation cohort were further divided into hepatitis group and hepatitis B-related cirrhosis group based on whether the patient progressed to cirrhosis.Binary logistic regression was used to analyze the influencing factors of hepatitis progression to cirrhosis.A roadmap prediction model was established,and the predictive effect of the model was evaluated by patientsubject receiver operating characteristic curve(ROC),and the effectiveness of the model was evaluated by decision curve analysis.RESULTS Binary logistic regression analysis was performed using hepatitis B-related cirrhosis=1 and hepatitis=0 as dependent variables,and univariate analysis of serological indicators was used as covariates.The results showed that glutamic oxaloacetate aminotransferase/glutamate acetone aminotransferase levels,prothrombin time activity,and hepatitis B e antigen levels were all contributing factors to the progression of hepatitis to cirrhosis.The area under the ROC curve was 0.693[95%confidence interval(CI):0.631 to 0.756]for the training cohort and 0.675(95%CI:0.561 to 0.790)for the validation cohort.In addition,the decision analysis curves of the prediction models of both the training cohort and the validation cohort confirmed the effectiveness of the nomogram prediction model.CONCLUSION Three independent factors influencing the progression to cirrhosis in patients with hepatitis B were

关 键 词：HEPATITIS Hepatitis B-related cirrhosis Clinical features Influencing factors NOMOGRAM 

分 类 号：R575.1[医药卫生—消化系统] R575.2[医药卫生—内科学]