New prognostic method for estimation of lipid distress syndrome development in patients with chronic hepatitis C

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Abstract

Objectives – to work out a prognostic method, based on clinical and laboratory data, which can predict the development of lipid distress syndrome in patients with chronic viral hepatitis C.

Material and methods. We studied the outcomes of chronic viral hepatitis C with respect to development of lipid distress syndrome in 267 patients who did not receive antiviral therapy during the observation period lasting for 1 to 7 years.

Results. Discriminant function analysis of the data acquired after examination of 167 patients helped us to work out a discriminative model of predicting the development of lipid distress syndrome in patients with chronic viral hepatitis C in the absence of antiviral therapy. Cross-checking of prediction accuracy was carried out on the data of examination of other 100 patients.

Conclusion. The designed technique for predicting the development of lipid distress syndrome in patients with chronic hepatitis C is characterized by point estimates of sensitivity and prognostic value of the negative result equal to 100%.

About the authors

Dmitrii Yur'evich Konstantinov

Samara State Medical University

Author for correspondence.
Email: dk.samgmu@mail.ru
ORCID iD: 0000-0002-6177-8487

PhD, Associate Professor of the Chair of Infectious Diseases with a course of epidemiology of SamSMU

Russian Federation, Samara

German V. Nedugov

Samara Regional Bureau of Forensic Medical Expertise

Email: nedugovh@mail.ru
ORCID iD: 0000-0002-7380-3766

PhD, Head of the Forensic Histology Department of Samara Regional Bureau of Forensic Medical Expertise

Russian Federation, Samara

Larisa L. Popova

Samara State Medical University

Email: infect.samgmu@mail.ru

PhD, Professor of the Chair of Infectious Diseases with a course of epidemiology of SamSMU

Russian Federation, Samara

Elena A. Konstantinova

Samara State Medical University

Email: a.konstanta@mail.ru
ORCID iD: 0000-0002-6022-0983

PhD, Associate Professor of the Chair of Infectious Diseases with a course of epidemiology of SamSMU

Russian Federation, Samara

References

  1. Константинов Д.Ю., Попова Л.Л., Голик О.О. Хронический вирусный гепатит С и состояние гепатобилиарной системы. Самара, 2018. [Konstantinov DYu, Popova LL, Golik OO. Khronicheski i virusnyi gepatit C i sostoyanie gepatobiliarnoi sistemy. Samara, 2018. (In Russ.)].
  2. Ткаченко Л.И., Малеев В.В., Сариева Д.М. Нарушение липидного обмена у больных хроническим гепатиом С. Архив внутренней медицины. 2015;6(26):50–6. [Tkachenko LI, Ma-leev VV, Sarieva DM. Lipid metabolism disorders in patients with chronic hepatitis C. Arkhiv vnutrennei meditsiny. 2015;6(26):50–6. (In Russ.)].
  3. Савельев В.С., Петухов В.А. Липидный дистресс-синдром. М., 2010. [Savel'ev VS, Petukhov VA. Lipidnyi distress-sindrom. Мoscow, 2010. (In Russ.)].
  4. Константинов Д.Ю., Недугов Г.В., Суздальцев А.А., Константинова Е.А. Прогнозирование развития липидного дистресс-синдрома при хроническом вирусном гепатите С. Инфекционные болезни. 2018;16(4):34–37. [Konstantinov DYu, Nedugov GV, Suzdaltsev AA, Konstantinova EA. Prognosis of the development of lipid distress syndrome in chronic viral hepatitis C. Infektsionnye bolezni. 2018;16(4):34–37. (In Russ.)]. doi: 10.20953/1729-9225-2018-4-34-37

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Copyright (c) 2019 Konstantinov D.Y., Nedugov G.V., Popova L.L., Konstantinova E.A.

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