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Evaluation of non-invasive prognostic parameters in patients developing ACLF and renal failure in patients receiving and not receiving transjugular intrahepatic portosystemic shunt (TIPS). Patients are cared according to the local standardized follow up program. Clinical and laboratory data from standard patient care are evaluated for potential prognostic value.
NECTAR consists of patients with ACLF and renal failure with and without receiving transjugular intrahepatic portosystemic shunt (TIPS) at the Department of Internal Medicine I, University of Bonn, Germany and receiving a structured routine evaluation and follow up program. The diagnosis of cirrhosis was based on clinical, hemodynamic and biochemical parameters, and ultrasound and/or biopsy criteria.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| With TIPS | Prospective cohort that received TIPS | ||
| Without TIPS | Prospective cohort that did not receive TIPS |
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| Measure | Description | Time Frame |
|---|---|---|
| Survival | death, liver transplantation | up to 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| Ascites | Evaluation of amount of ascites according to the Child-Score | up to 10 years |
| Hepatic Encephalopathy | Evaluation of the grade according to the West Haven Criteria |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with portal hypertension and kidney failure are eligible for inclusion
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michael Praktiknjo, MD | Contact | +49(0)228-287 15770 | michael.praktiknjo@ukbonn.de | |
| Johannes Chang, MD | Contact | +49(0)228-287 15770 | johannes.chang@ukbonn.de |
| Name | Affiliation | Role |
|---|---|---|
| Michael Praktiknjo, MD | University Hospital, Bonn | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Bonn | Recruiting | Bonn | Germany |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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serum, plasma, urine, ascites, stool, DNA, PBMC, Buffi coat
| up to 10 years |
| Variceal Bleeding | Assessment of presence of variceal bleeding | up to 10 years |
| Liver Failure | defined as Bilirubin level ≥ 12mg/dl | up to 10 years |
| Acute-on-Chronic Liver Failure | Presence of ACLF according to the EASL-Chronic liver Failure Consortium (CLIF)-criteria | up to 10 years |
| Kidney Failure | Assessment of AKI according to KDIGO | up to 10 years |
| Organ Failures | Assessment of Organ failures according to CLIF-Sequential Organ Failure Assessment (SOFA) Score | up to 10 years |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |