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Table 4 Clinical characteristics in relation to total testosterone level

From: Lower testosterone levels predict increasing severity and worse outcomes of hepatitis B virus-related acute-on-chronic liver failure in males

 

TT < 142.39 ng/dL (n = 104)

TT ≥ 142.39 ng/dL (n = 56)

P values

Stage of acute-on-chronic liver failure, % (n)

Early stage

9.6% (10)

39.3% (22)

 < 0.001

Middle stage

38.5% (40)

37.5% (21)

 < 0.001

End stage

51.9% (54)

23.2% (13)

 < 0.001

Complications, % (n)

Ascites

80.8% (84)

48.2% (27)

 < 0.001

 Mild Ascites

49% (51)

41.1% (23)

 < 0.001

 Severe Ascites

31.7% (33)

7.1% (4)

 < 0.001

Hepatic encephalopathy

31.7% (33)

3.6% (2)

 < 0.001

 Grade I or II

12.5% (13)

1.8% (1)

 < 0.001

 Grade III or IV

19.2% (20)

1.8% (1)

 < 0.001

Infection

26.9% (28)

28.6% (16)

0.824

Acute kidney injury

7.7% (8)

0% (0)

0.051

Gastrointestinal hemorrhage

2.9% (3)

0% (0)

0.552

Laboratory data

Albumin (g/dL)

31 (28–34)

32 (31–34)

0.01

Total bilirubin (μmol/L)

378 (301–468)

309 (256–398)

 < 0.001

Total cholesterol (mmol/L)

2.0 (1.6–2.3)

2.5 (1.9–4.9)

 < 0.001

Hemoglobin (g/L)

123 (111–133)

128 (119–135)

0.03

Platelet count (109/L)

100 (67–126)

120 (91–180)

 < 0.001

C-reactive protein (mg/L)

12.3 (8.2–20.1)

9.6 (6.0–16.2)

 < 0.001

Sex-hormone-binding globulin (nmol/L)

32 (25–46)

54 (44–72)

 < 0.001

Free testosterone index (%)

7.0 (5.3–9.7)

18.0 (12.5–24.1)

 < 0.001

Dehydroepiandrosterone sulfate (μg/dL)

160 (88–310)

127 (70–218)

0.06

Cortisol (μg/dL)

9.2 (7.1–13.2)

8.9 (5.7–12.2)

0.44

Androstenedione (ng/mL)

3.35 (2.23–4.97)

3.60 (2.32–4.47)

0.69

Severity score

MELD

33 (29–35)

29 (26–31)

 < 0.001

COSSH-ACLF

6.7 (6.2–7.6)

5.8 (5.5–6.3)

 < 0.001

Mortality, % (n)

90 days

45.2% (47)

14.3% (8)

 < 0.001

  1. Data are expressed as median (interquartile range; 25th and 75th percentiles) or percentage (frequency)
  2. The mortality refers to rate of composite outcome defined as death or transplantation
  3. MELD Model for End-stage Liver Disease, COSSH-ACLF Chinese Group on the Study of Severe Hepatitis B-acute-on-chronic liver failure