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Epidemiology of liver failure in Asia‐Pacific region

机译:亚太地区肝衰竭的流行病学

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Abstract The global burden of deaths caused by liver failure is substantial. The Asia‐Pacific region is home to more than half of the global population and accounted for 62.6 of global deaths because of liver diseases in 2015. The aetiology of liver failure varies in different countries at different times. Viruses (Hepatitis A, B and E), drugs (herbs and anti‐tuberculous drugs), toxins (alcohol use) and autoimmune flares are mainly responsible of majority of liver failure in individuals with normal liver (acute liver failure; ALF); else these may precipitate liver failure in those with chronic liver disease (acute‐on‐chronic liver failure; ACLF). Concomitant increases in alcohol misuse and metabolic syndrome in recent years are concerning. Ongoing efforts to address liver failure‐related morbidity and mortality require accurate contemporary estimates of epidemiology and outcomes. In light of the ever‐changing nature of liver disease epidemiology, accurate estimates for the burden of liver failure across the countries are vital for setting clinical, research and policy priorities. In this review, we aimed to describe the current as well as changing epidemiological trends of common liver failure syndromes, ALF and ACLF in the Asia‐Pacific region.
机译:摘要 全球肝衰竭导致的死亡负担沉重。亚太地区拥有全球一半以上的人口,占2015年全球肝病死亡人数的62.6%。肝衰竭的病因在不同国家、不同时期各不相同。病毒(甲型、乙型和戊型肝炎)、药物(草药和抗结核药物)、毒素(饮酒)和自身免疫性发作是导致肝功能正常(急性肝衰竭;ALF);否则,这些可能会诱发慢性肝病患者的肝衰竭(慢加急性肝衰竭;ACLF)。近年来,酒精滥用和代谢综合征的增加令人担忧。解决肝衰竭相关发病率和死亡率的持续努力需要对流行病学和结果进行准确的当代估计。鉴于肝病流行病学性质的不断变化,准确估计各国肝衰竭负担对于确定临床,研究和政策优先事项至关重要。在本综述中,我们旨在描述亚太地区常见肝衰竭综合征、ALF和ACLF的当前和变化的流行病学趋势。

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