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Table 1 Characteristics of hepatitis A patients by pediatric acute liver failure (PALF−/+) (n = 219), June 2019–Dec 2019, Somalia

From: Clinical characteristics of acute liver failure associated with hepatitis A infection in children in Mogadishu, Somalia: a hospital-based retrospective study

Characteristics

PALF (−)

PALF (+)

p value

(n = 194)

(n = 25)

Age (mean ± SD) (years)

6.7 ± 4.8

7.1 ± 6.8

0.802

Gender, N (%)

   

 Male

116 (88)

16 (12)

 

 Female

78 (90)

9 (10)

0.851

Clinical presentation, N (%)

   

 Jaunce

11 (65)

6 (35)

 

 Fever

33 (100)

0 (0)

0.004*

 Vomiting

28 (90)

3 (10)

 

 Asymptomatic

122 (88)

16 (12)

 

Sonographic findings, N (%) (n = 84)

   

 Normal

33 (94)

2 (6)

 

 Hepatomegaly

3 (50)

3 (50)

 

 Ascites

7 (58)

5 (42)

 < 0.001*

 Cholecystitis

11 (79)

3 (21)

 

 Hepatomagly + ascites

1 (20)

4 (80)

 

 Cholecystitis + ascites

11 (92)

1 (8)

 

Laboratory results (mean ± SD)

   

 Platelet (× 109/L)

315 ± 186

347 ± 500

0.753

 Total bilirubin (μmol/L)

22 ± 118

247 ± 572

0.062

 Direct bilirubin (μmol/L)

14 ± 96

53 ± 84

0.058

 Albumin (g/L)

5 ± 11

11 ± 14

0.038*

 ALT (U/L)

517 ± 714

1420 ± 2118

0.045*

 AST (U/L)

612 ± 936

2760 ± 5630

0.069

 APTT (s)

6 ± 12

155 ± 233

0.004*

 GGT (U/L)

57 ± 137

54 ± 51

0.84

 INR

0,3 ± 0,5

147 ± 301

0.022*

 PT (s)

3,7 ± 10

149 ± 286

0.018*

Clinical results, N (%)

   

 Recovery

174 (92)

15 (8)

 < 0.001*

 Relaps

13(72)

5 (28)

 

 Hepatic encephalopathy

7 (58)

5 (42)

 

Length of hospital stay (days) (mean ± SD)

1.61 ± 3.5

5.88 ± 5.6

0.001*

  1. Normal values: ALT (5–45 U/L), AST (5–40 U/L), alkaline phosphatase (38–155 U/L), albumin (2.5–6.0 g/dL), total serum bilirubin (0.1–1.3 mg/dL) and serum direct bilirubin (0.0–8.4 mg/dL)
  2. ALT alanine aminotransferase; AST aspartate aminotransferase; PT prothrombin time; GGT gamma glutamyl transpeptidase; INR International normalized ratio; PT prothrombin time
  3. *p < 0.05