A statistical analysis of the correlations among various types of clinical indexes for patients with chronic

Jie Wang1, Yonglan Pu, Yinhua Gong

  • 1Taicang Affiliated Hospital of Soochow University, The First People's Hospital of Taicang, Suzhou, Jiangsu Province, China.

Medicine
|February 22, 2020
PubMed

Insights

This study reveals that gender significantly impacts liver stiffness measurements in Hepatitis B virus (HBV) patients and healthy individuals. Key biochemical markers like bilirubin and aminotransferases are associated with HBV diagnosis.

Area of Science:

  • Hepatology
  • Virology
  • Biochemistry

Background:

  • Hepatitis B virus (HBV) infection represents a significant global health burden, particularly in Asia and Africa.
  • Despite advancements in early detection and care, the influence of demographic factors like gender and age on HBV patient parameters requires further investigation.
  • Understanding these relationships is crucial for refining diagnostic and prognostic tools in hepatology.

Purpose of the Study:

  • To investigate the correlations between various physiological and biochemical indexes in a large cohort of HBV patients and healthy controls.
  • To examine the impact of gender and age on liver stiffness measurement (LSM) and controlled attenuation parameters (CAPs).
  • To compare the diagnostic values of these parameters for hepatic fibrosis in HBV patients.

Main Methods:

  • Measurement of physiological and biochemical indexes in HBV patients and healthy controls.
  • Correlation analysis of indexes and imaging results.
  • Group comparisons based on gender and age for LSM and CAPs.
  • Evaluation of diagnostic values for hepatic fibrosis.

Main Results:

  • HBV patient samples clustered differently from healthy controls, indicating distinct physiological profiles.
  • Direct bilirubin (DB), total bilirubin (TB), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) were associated with HBV diagnosis.
  • Gender significantly affected fibrotouch measurements in both HBV patients and healthy controls.

Conclusions:

  • Demographic factors, specifically gender, play a significant role in liver stiffness measurements, impacting diagnostic accuracy.
  • Biochemical markers like bilirubin and aminotransferases are important indicators in HBV diagnosis.
  • Further research is needed to refine critical values for medical indexes based on these influencing parameters.