1 Partea generală

2 Partea specială

2.1 Introducere

2.1.1 Obiective

2.2 Material și metode

2.3 Rezultate

Table 1: .

Variable

Details

yes

no

Total

Statistics

TIPS

104 (18.7%)

452 (81.3%)

556

Column1

M (min:max)

μ ±SD

Obs

4 (3.8%)

7 (1.5%)

11 (2.0%)

OR=2.54 [0.73, 8.85] (p=0.132)

months till dg

M (min:max)

19 (14:25)

7 (2:37)

13.5 (2:37)

T-test: p=0.666

μ ±SD

19.33 ±5.51

15.14 ±15.3

16.40 ±13.0

HCC 1 an

0

4 (0.9%)

4 (0.7%)

OR=0.48 [0.03, 8.93] (p>0.999)

HCC 2 ani

2 (1.9%)

5 (1.1%)

7 (1.3%)

OR=1.75 [0.34, 9.16] (p=0.620)

HCC 3 ani

3 (2.9%)

6 (1.3%)

9 (1.6%)

OR=2.21 [0.54, 8.98] (p=0.380)

Sex

F

33 (31.7%)

205 (45.4%)

238 (42.8%)

OR=0.56 [0.36, 0.88] (p=0.012)

M

71 (68.3%)

247 (54.6%)

318 (57.2%)

Age (years)

M (min:max)

55 (25:73)

58 (23:87)

57 (23:87)

MW: p=0.003

μ ±SD

53.65 ±9.46

57.16 ±10.6

56.49 ±10.5

Etiology

alcohol

59 (56.7%)

198 (43.9%)

257 (46.3%)

V=0.26 (p<0.001)

virus B

6 (5.8%)

14 (3.1%)

20 (3.6%)

virus C

14 (13.5%)

136 (30.2%)

150 (27.0%)

virus mix

0

6 (1.3%)

6 (1.1%)

alcohol+virus

11 (10.6%)

23 (5.1%)

34 (6.1%)

autoimmune

4 (3.8%)

26 (5.8%)

30 (5.4%)

metabolic

1 (1.0%)

25 (5.5%)

26 (4.7%)

hepatic venous outflow obstruction

2 (1.9%)

2 (0.4%)

4 (0.7%)

cryptogenic

0

13 (2.9%)

13 (2.3%)

other

7 (6.7%)

8 (1.8%)

15 (2.7%)

Cirrhosis

101 (97.1%)

449 (99.3%)

550 (98.9%)

OR=0.22 [0.04, 1.13] (p=0.083)

Decompensation

104 (100%)

262 (58.0%)

366 (65.8%)

OR=151.67 [9.37, 2 456.32] (p<0.001)

Alcoholic hepatitis

0

99 (21.9%)

99 (17.8%)

OR=0.02 [0.00, 0.28] (p<0.001)

Alc Hep responder

0

15 (3.3%)

15 (2.7%)

OR=0.14 [0.01, 2.28] (p=0.086)

HVPG value

M (min:max)

17 (10:26)

17 (10:40)

17 (10:40)

MW: p=0.679

μ ±SD

17.03 ±3.62

17.53 ±5.11

17.44 ±4.87

PPG_aftertips

M (min:max)

7 (2:15)

7 (2:15)

μ ±SD

7.32 ±2.62

7.32 ±2.62

Child-Pugh

1

19 (18.8%)

143 (38.0%)

162 (34.0%)

V=0.21 (p<0.001)

2

51 (50.5%)

107 (28.5%)

158 (33.1%)

3

31 (30.7%)

126 (33.5%)

157 (32.9%)

Platelets

M (min:max)

100 (27:547)

105.5 (21:636)

105 (21:636)

MW: p=0.176

μ ±SD

121.01 ±83.5

128.69 ±82.4

127.25 ±82.6

HCC status

4 (3.8%)

7 (1.5%)

11 (2.0%)

OR=2.54 [0.73, 8.85] (p=0.132)

Total bilirubin

M (min:max)

2.2 (0.3:43.1)

2.2 (0.3:43.1)

μ ±SD

6.19 ±8.47

6.19 ±8.47

Albumin

M (min:max)

3.1 (1:6.6)

3.1 (1:6.6)

μ ±SD

3.26 ±0.743

3.26 ±0.743

INR

M (min:max)

1.47 (0.88:6.12)

1.47 (0.88:6.12)

μ ±SD

1.64 ±0.584

1.64 ±0.584

Ascitis

0

201 (44.5%)

201 (36.2%)

OR=0.01 [0.00, 0.10] (p<0.001)

Other decompensation types

variceal bleeding

0 (NA)

24 (37.5%)

24 (37.5%)

V=NA (p>0.999)

hepatic encephalopathy

0 (NA)

5 (7.8%)

5 (7.8%)

jaundice

0 (NA)

33 (51.6%)

33 (51.6%)

HCC

0 (NA)

1 (1.6%)

1 (1.6%)

other

0 (NA)

1 (1.6%)

1 (1.6%)

ID

M (min:max)

289 (4:563)

282.5 (1:567)

285 (1:567)

MW: p=0.928

μ ±SD

284.47 ±167.4

286.26 ±161.1

285.93 ±162.2

Column2

M (min:max)

11 (0:88)

6 (0:53)

7 (0:88)

MW: p=0.016

μ ±SD

16.11 ±18.9

10.84 ±12.3

11.84 ±14.0

μ ±SD = Mean (standard deviation); M (min:max) = Median (min:max); MW = Mann-Whitney Test; OR = odds-ratio [95% CI] and p value from Fisher test); V = Cramér V (p value from Chi² test);

Table 2: .

Variable

Details

yes

no

Total

Statistics

TIPS

4 (36.4%)

7 (63.6%)

11

Column1

M (min:max)

μ ±SD

Obs

4 (100%)

7 (100%)

11 (100%)

OR=0.60 [0.01, 35.86] (p>0.999)

months till dg

M (min:max)

19 (14:25)

7 (2:37)

13.5 (2:37)

T-test: p=0.666

μ ±SD

19.33 ±5.51

15.14 ±15.3

16.40 ±13.0

HCC 1 an

0

4 (57.1%)

4 (36.4%)

OR=0.09 [0.00, 2.20] (p=0.194)

HCC 2 ani

2 (50.0%)

5 (71.4%)

7 (63.6%)

OR=0.40 [0.03, 5.15] (p=0.576)

HCC 3 ani

3 (75.0%)

6 (85.7%)

9 (81.8%)

OR=0.50 [0.02, 11.09] (p>0.999)

Sex

F

1 (25.0%)

2 (28.6%)

3 (27.3%)

OR=0.83 [0.05, 13.63] (p>0.999)

M

3 (75.0%)

5 (71.4%)

8 (72.7%)

Age (years)

M (min:max)

58.5 (58:64)

57 (48:74)

58 (48:74)

T-test: p=0.606

μ ±SD

59.75 ±2.87

57.00 ±9.85

58.00 ±7.91

Etiology

alcohol

2 (50.0%)

4 (57.1%)

6 (54.5%)

V=0.53 (p=0.380)

virus B

1 (25.0%)

0

1 (9.1%)

virus C

0

2 (28.6%)

2 (18.2%)

virus mix

0

0

0

alcohol+virus

1 (25.0%)

1 (14.3%)

2 (18.2%)

autoimmune

0

0

0

metabolic

0

0

0

hepatic venous outflow obstruction

0

0

0

cryptogenic

0

0

0

other

0

0

0

Cirrhosis

4 (100%)

7 (100%)

11 (100%)

OR=0.60 [0.01, 35.86] (p>0.999)

Decompensation

4 (100%)

5 (71.4%)

9 (81.8%)

OR=4.09 [0.15, 108.94] (p=0.491)

Alcoholic hepatitis

0

2 (28.6%)

2 (18.2%)

OR=0.24 [0.01, 6.51] (p=0.491)

Alc Hep responder

0

2 (28.6%)

2 (18.2%)

OR=0.24 [0.01, 6.51] (p=0.491)

HVPG value

M (min:max)

18 (14:25)

19 (11:27)

19 (11:27)

T-test: p=0.944

μ ±SD

18.75 ±5.62

19.00 ±5.51

18.91 ±5.26

PPG_aftertips

M (min:max)

7 (4:13)

7 (4:13)

μ ±SD

7.75 ±3.86

7.75 ±3.86

Child-Pugh

1

0

2 (28.6%)

2 (18.2%)

V=0.48 (p=0.276)

2

1 (25.0%)

3 (42.9%)

4 (36.4%)

3

3 (75.0%)

2 (28.6%)

5 (45.5%)

Platelets

M (min:max)

51 (33:85)

55 (38:203)

52 (33:203)

MW: p=0.570

μ ±SD

55.00 ±21.7

77.00 ±57.1

69.00 ±47.2

HCC status

4 (100%)

7 (100%)

11 (100%)

OR=0.60 [0.01, 35.86] (p>0.999)

Total bilirubin

M (min:max)

2.2 (1:25.5)

2.2 (1:25.5)

μ ±SD

8.93 ±11.1

8.93 ±11.1

Albumin

M (min:max)

2.8 (2.6:3.4)

2.8 (2.6:3.4)

μ ±SD

2.93 ±0.416

2.93 ±0.416

INR

M (min:max)

1.44 (1.19:1.96)

1.44 (1.19:1.96)

μ ±SD

1.52 ±0.334

1.52 ±0.334

Ascitis

0

3 (42.9%)

3 (27.3%)

OR=0.14 [0.01, 3.64] (p=0.236)

Other decompensation types

variceal bleeding

0 (NA)

1 (50.0%)

1 (50.0%)

V=NA (p>0.999)

hepatic encephalopathy

0 (NA)

0

0

jaundice

0 (NA)

1 (50.0%)

1 (50.0%)

HCC

0 (NA)

0

0

other

0 (NA)

0

0

ID

M (min:max)

458.5 (377:559)

297 (27:471)

316 (27:559)

T-test: p=0.028

μ ±SD

463.25 ±92.7

227.14 ±164.5

313.00 ±181.7

Column2

M (min:max)

37 (18:86)

13 (8:36)

18 (8:86)

MW: p=0.072

μ ±SD

44.50 ±31.9

18.00 ±12.2

27.64 ±23.9

μ ±SD = Mean (standard deviation); M (min:max) = Median (min:max); MW = Mann-Whitney Test; OR = odds-ratio [95% CI] and p value from Fisher test); V = Cramér V (p value from Chi² test);

Welch Two Sample t-test

data: HVPG_1_luna_tips\(PPG_aftertips and HVPG_no_TIPS\)HVPG value t = -29, df = 309, p-value <0.0000000000000002 alternative hypothesis: true difference in means is not equal to 0 95 percent confidence interval: -10.90 -9.52 sample estimates: mean of x mean of y 7.32 17.53

Wilcoxon rank sum test with continuity correction

data: HVPG_1_luna_tips\(PPG_aftertips and HVPG_no_TIPS\)HVPG value W = 1064, p-value <0.0000000000000002 alternative hypothesis: true location shift is not equal to 0

Table 3: .

Variable

Details

yes

no

Total

Statistics

HCC status

11 (2.0%)

545 (98.0%)

556

Column1

M (min:max)

μ ±SD

Obs

11 (100%)

0

11 (2.0%)

OR=10 000.00 [476.82, 10 000.00] (p<0.001)

TIPS

4 (36.4%)

100 (18.3%)

104 (18.7%)

OR=2.54 [0.73, 8.85] (p=0.132)

months till dg

M (min:max)

13.5 (2:37)

13.5 (2:37)

μ ±SD

16.40 ±13.0

16.40 ±13.0

HCC 1 an

4 (36.4%)

0

4 (0.7%)

OR=654.60 [32.29, 10 000.00] (p<0.001)

HCC 2 ani

7 (63.6%)

0

7 (1.3%)

OR=1 818.33 [89.69, 10 000.00] (p<0.001)

HCC 3 ani

9 (81.8%)

0

9 (1.6%)

OR=4 145.80 [186.14, 10 000.00] (p<0.001)

Sex

F

3 (27.3%)

235 (43.1%)

238 (42.8%)

OR=0.49 [0.13, 1.88] (p=0.367)

M

8 (72.7%)

310 (56.9%)

318 (57.2%)

Age (years)

M (min:max)

58 (48:74)

57 (23:87)

57 (23:87)

MW: p=0.697

μ ±SD

58.00 ±7.91

56.46 ±10.6

56.49 ±10.5

Etiology

alcohol

6 (54.5%)

251 (46.1%)

257 (46.3%)

V=0.10 (p=0.741)

virus B

1 (9.1%)

19 (3.5%)

20 (3.6%)

virus C

2 (18.2%)

148 (27.2%)

150 (27.0%)

virus mix

0

6 (1.1%)

6 (1.1%)

alcohol+virus

2 (18.2%)

32 (5.9%)

34 (6.1%)

autoimmune

0

30 (5.5%)

30 (5.4%)

metabolic

0

26 (4.8%)

26 (4.7%)

hepatic venous outflow obstruction

0

4 (0.7%)

4 (0.7%)

cryptogenic

0

13 (2.4%)

13 (2.3%)

other

0

15 (2.8%)

15 (2.7%)

Cirrhosis

11 (100%)

539 (98.9%)

550 (98.9%)

OR=0.28 [0.01, 5.22] (p>0.999)

Decompensation

9 (81.8%)

357 (65.5%)

366 (65.8%)

OR=2.37 [0.51, 11.08] (p=0.347)

Alcoholic hepatitis

2 (18.2%)

97 (17.8%)

99 (17.8%)

OR=1.03 [0.22, 4.83] (p>0.999)

Alc Hep responder

2 (18.2%)

13 (2.4%)

15 (2.7%)

OR=9.09 [1.79, 46.32] (p=0.032)

HVPG value

M (min:max)

19 (11:27)

17 (10:40)

17 (10:40)

MW: p=0.296

μ ±SD

18.91 ±5.26

17.41 ±4.86

17.44 ±4.87

PPG_aftertips

M (min:max)

7 (4:13)

7 (2:15)

7 (2:15)

MW: p=0.980

μ ±SD

7.75 ±3.86

7.30 ±2.58

7.32 ±2.62

Child-Pugh

1

2 (18.2%)

160 (34.3%)

162 (34.0%)

V=0.05 (p=0.497)

2

4 (36.4%)

154 (33.0%)

158 (33.1%)

3

5 (45.5%)

152 (32.6%)

157 (32.9%)

Platelets

M (min:max)

52 (33:203)

107 (21:636)

105 (21:636)

MW: p<0.001

μ ±SD

69.00 ±47.2

128.45 ±82.8

127.25 ±82.6

Total bilirubin

M (min:max)

2.2 (1:25.5)

2.2 (0.3:43.1)

2.2 (0.3:43.1)

MW: p=0.431

μ ±SD

8.93 ±11.1

6.15 ±8.44

6.19 ±8.47

Albumin

M (min:max)

2.8 (2.6:3.4)

3.1 (1:6.6)

3.1 (1:6.6)

MW: p=0.384

μ ±SD

2.93 ±0.416

3.26 ±0.745

3.26 ±0.743

INR

M (min:max)

1.44 (1.19:1.96)

1.48 (0.88:6.12)

1.47 (0.88:6.12)

MW: p=0.899

μ ±SD

1.52 ±0.334

1.64 ±0.587

1.64 ±0.584

Ascitis

3 (27.3%)

198 (36.3%)

201 (36.2%)

OR=0.66 [0.17, 2.51] (p=0.754)

Other decompensation types

variceal bleeding

1 (50.0%)

23 (37.1%)

24 (37.5%)

V=0.07 (p=0.989)

hepatic encephalopathy

0

5 (8.1%)

5 (7.8%)

jaundice

1 (50.0%)

32 (51.6%)

33 (51.6%)

HCC

0

1 (1.6%)

1 (1.6%)

other

0

1 (1.6%)

1 (1.6%)

ID

M (min:max)

316 (27:559)

282.5 (1:567)

285 (1:567)

MW: p=0.574

μ ±SD

313.00 ±181.7

285.37 ±161.9

285.93 ±162.2

Column2

M (min:max)

18 (8:86)

6 (0:88)

7 (0:88)

MW: p=0.002

μ ±SD

27.64 ±23.9

11.50 ±13.5

11.84 ±14.0

HVPG >= 17

[17,Inf]

7 (63.6%)

289 (53.0%)

296 (53.2%)

OR=1.55 [0.45, 5.36] (p=0.554)

[0,17)

4 (36.4%)

256 (47.0%)

260 (46.8%)

HVPG >= 18

[18,Inf]

6 (54.5%)

251 (46.1%)

257 (46.2%)

OR=1.41 [0.42, 4.66] (p=0.762)

[0,18)

5 (45.5%)

294 (53.9%)

299 (53.8%)

Etiologie = 1

1 (alcohol)

6 (54.5%)

251 (46.1%)

257 (46.2%)

OR=1.41 [0.42, 4.66] (p=0.762)

2-10 (others)

5 (45.5%)

294 (53.9%)

299 (53.8%)

HVPG value >= 10

[10,Inf]

11 (100%)

545 (100%)

556 (100%)

OR=0.02 [0.00, 1.11] (p>0.999)

[0,10)

0

0

0

HVPG value >= 11

[11,Inf]

11 (100%)

508 (93.2%)

519 (93.3%)

OR=1.70 [0.10, 29.35] (p>0.999)

[0,11)

0

37 (6.8%)

37 (6.7%)

HVPG value >= 12

[12,Inf]

10 (90.9%)

486 (89.2%)

496 (89.2%)

OR=1.21 [0.15, 9.65] (p>0.999)

[0,12)

1 (9.1%)

59 (10.8%)

60 (10.8%)

HVPG value >= 13

[13,Inf]

10 (90.9%)

459 (84.2%)

469 (84.4%)

OR=1.87 [0.24, 14.83] (p>0.999)

[0,13)

1 (9.1%)

86 (15.8%)

87 (15.6%)

HVPG value >= 14

[14,Inf]

10 (90.9%)

419 (76.9%)

429 (77.2%)

OR=3.01 [0.38, 23.72] (p=0.470)

[0,14)

1 (9.1%)

126 (23.1%)

127 (22.8%)

HVPG value >= 14.5

[14.5,Inf]

7 (63.6%)

378 (69.4%)

385 (69.2%)

OR=0.77 [0.22, 2.68] (p=0.744)

[0,14.5)

4 (36.4%)

167 (30.6%)

171 (30.8%)

HVPG value >= 15

[15,Inf]

7 (63.6%)

377 (69.2%)

384 (69.1%)

OR=0.78 [0.23, 2.70] (p=0.745)

[0,15)

4 (36.4%)

168 (30.8%)

172 (30.9%)

HVPG value >= 16

[16,Inf]

7 (63.6%)

345 (63.3%)

352 (63.3%)

OR=1.01 [0.29, 3.51] (p>0.999)

[0,16)

4 (36.4%)

200 (36.7%)

204 (36.7%)

HVPG value >= 17

[17,Inf]

7 (63.6%)

289 (53.0%)

296 (53.2%)

OR=1.55 [0.45, 5.36] (p=0.554)

[0,17)

4 (36.4%)

256 (47.0%)

260 (46.8%)

HVPG value >= 18

[18,Inf]

6 (54.5%)

251 (46.1%)

257 (46.2%)

OR=1.41 [0.42, 4.66] (p=0.762)

[0,18)

5 (45.5%)

294 (53.9%)

299 (53.8%)

HVPG value >= 19

[19,Inf]

6 (54.5%)

212 (38.9%)

218 (39.2%)

OR=1.88 [0.57, 6.25] (p=0.355)

[0,19)

5 (45.5%)

333 (61.1%)

338 (60.8%)

HVPG value >= 20

[20,Inf]

5 (45.5%)

169 (31.0%)

174 (31.3%)

OR=1.85 [0.56, 6.16] (p=0.332)

[0,20)

6 (54.5%)

376 (69.0%)

382 (68.7%)

HVPG value >= 21

[21,Inf]

5 (45.5%)

128 (23.5%)

133 (23.9%)

OR=2.71 [0.82, 9.04] (p=0.144)

[0,21)

6 (54.5%)

417 (76.5%)

423 (76.1%)

HVPG value >= 22

[22,Inf]

5 (45.5%)

100 (18.3%)

105 (18.9%)

OR=3.71 [1.11, 12.39] (p=0.039)

[0,22)

6 (54.5%)

445 (81.7%)

451 (81.1%)

HVPG value >= 23

[23,Inf]

3 (27.3%)

72 (13.2%)

75 (13.5%)

OR=2.46 [0.64, 9.50] (p=0.175)

[0,23)

8 (72.7%)

473 (86.8%)

481 (86.5%)

HVPG value >= 24

[24,Inf]

2 (18.2%)

57 (10.5%)

59 (10.6%)

OR=1.90 [0.40, 9.02] (p=0.329)

[0,24)

9 (81.8%)

488 (89.5%)

497 (89.4%)

HVPG value >= 25

[25,Inf]

2 (18.2%)

39 (7.2%)

41 (7.4%)

OR=2.88 [0.60, 13.81] (p=0.191)

[0,25)

9 (81.8%)

506 (92.8%)

515 (92.6%)

HVPG value >= 26

[26,Inf]

1 (9.1%)

32 (5.9%)

33 (5.9%)

OR=1.60 [0.20, 12.91] (p=0.493)

[0,26)

10 (90.9%)

513 (94.1%)

523 (94.1%)

HVPG value >= 27

[27,Inf]

1 (9.1%)

23 (4.2%)

24 (4.3%)

OR=2.27 [0.28, 18.49] (p=0.387)

[0,27)

10 (90.9%)

522 (95.8%)

532 (95.7%)

HVPG value >= 28

[28,Inf]

0

20 (3.7%)

20 (3.6%)

OR=1.11 [0.06, 19.57] (p>0.999)

[0,28)

11 (100%)

525 (96.3%)

536 (96.4%)

HVPG value >= 29

[29,Inf]

0

11 (2.0%)

11 (2.0%)

OR=2.02 [0.11, 36.40] (p>0.999)

[0,29)

11 (100%)

534 (98.0%)

545 (98.0%)

HVPG value >= 30

[30,Inf]

0

10 (1.8%)

10 (1.8%)

OR=2.22 [0.12, 40.16] (p>0.999)

[0,30)

11 (100%)

535 (98.2%)

546 (98.2%)

HVPG value >= 31

[31,Inf]

0

8 (1.5%)

8 (1.4%)

OR=2.75 [0.15, 50.54] (p>0.999)

[0,31)

11 (100%)

537 (98.5%)

548 (98.6%)

HVPG value >= 32

[32,Inf]

0

7 (1.3%)

7 (1.3%)

OR=3.12 [0.17, 57.98] (p>0.999)

[0,32)

11 (100%)

538 (98.7%)

549 (98.7%)

HVPG value >= 35

[35,Inf]

0

3 (0.6%)

3 (0.5%)

OR=6.74 [0.33, 138.12] (p>0.999)

[0,35)

11 (100%)

542 (99.4%)

553 (99.5%)

HVPG value >= 40

[40,Inf]

0

1 (0.2%)

1 (0.2%)

OR=15.78 [0.61, 408.45] (p>0.999)

[0,40)

11 (100%)

544 (99.8%)

555 (99.8%)

μ ±SD = Mean (standard deviation); M (min:max) = Median (min:max); MW = Mann-Whitney Test; OR = odds-ratio [95% CI] and p value from Fisher test); V = Cramér V (p value from Chi² test);

.