The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection

Hepatitis B virus (HBV) infection is one of the serious health problems in the world as HBV causes severe liver diseases. Moreover, HBV reactivation has occasionally been observed in patients with resolved HBV infection and patients using immunosuppression and anticancer drugs. Large-scale hospital...

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Autores principales: Hiroyuki Amano, Tatsuo Kanda, Hitoshi Mochizuki, Yuichiro Kojima, Yoji Suzuki, Kenji Hosoda, Hiroshi Ashizawa, Yuko Miura, Shotaro Tsunoda, Yosuke Hirotsu, Hiroshi Ohyama, Naoya Kato, Mitsuhiko Moriyama, Shuntaro Obi, Masao Omata
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/39b5397846db4ef8aef95e73fdbb60e9
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spelling oai:doaj.org-article:39b5397846db4ef8aef95e73fdbb60e92021-11-25T19:13:25ZThe Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection10.3390/v131122161999-4915https://doaj.org/article/39b5397846db4ef8aef95e73fdbb60e92021-11-01T00:00:00Zhttps://www.mdpi.com/1999-4915/13/11/2216https://doaj.org/toc/1999-4915Hepatitis B virus (HBV) infection is one of the serious health problems in the world as HBV causes severe liver diseases. Moreover, HBV reactivation has occasionally been observed in patients with resolved HBV infection and patients using immunosuppression and anticancer drugs. Large-scale hospital data focused on HBV infection and severe liver function were analyzed at our hospital, located in an urban area adjacent to Tokyo, the capital city of Japan. A total of 99,932 individuals whose blood samples were taken at 7,170,240 opportunities were analyzed. The HBV surface antigen (HBsAg)-positive group had a more frequent prevalence of patients with higher transaminase elevations than the HBsAg-negative group. However, among the HBsAg-negative group, patients who were positive for anti-HBV surface antibody and/or anti-HBV core antibody, had more severe liver conditions and fatal outcomes. More careful attention should be paid to alanine transaminase (ALT) elevations higher than 1000 IU/L in patients who had current and previous HBV infection.Hiroyuki AmanoTatsuo KandaHitoshi MochizukiYuichiro KojimaYoji SuzukiKenji HosodaHiroshi AshizawaYuko MiuraShotaro TsunodaYosuke HirotsuHiroshi OhyamaNaoya KatoMitsuhiko MoriyamaShuntaro ObiMasao OmataMDPI AGarticleACLFacute liver failureALT elevationHBV reactivationHBV surface antigenMicrobiologyQR1-502ENViruses, Vol 13, Iss 2216, p 2216 (2021)
institution DOAJ
collection DOAJ
language EN
topic ACLF
acute liver failure
ALT elevation
HBV reactivation
HBV surface antigen
Microbiology
QR1-502
spellingShingle ACLF
acute liver failure
ALT elevation
HBV reactivation
HBV surface antigen
Microbiology
QR1-502
Hiroyuki Amano
Tatsuo Kanda
Hitoshi Mochizuki
Yuichiro Kojima
Yoji Suzuki
Kenji Hosoda
Hiroshi Ashizawa
Yuko Miura
Shotaro Tsunoda
Yosuke Hirotsu
Hiroshi Ohyama
Naoya Kato
Mitsuhiko Moriyama
Shuntaro Obi
Masao Omata
The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection
description Hepatitis B virus (HBV) infection is one of the serious health problems in the world as HBV causes severe liver diseases. Moreover, HBV reactivation has occasionally been observed in patients with resolved HBV infection and patients using immunosuppression and anticancer drugs. Large-scale hospital data focused on HBV infection and severe liver function were analyzed at our hospital, located in an urban area adjacent to Tokyo, the capital city of Japan. A total of 99,932 individuals whose blood samples were taken at 7,170,240 opportunities were analyzed. The HBV surface antigen (HBsAg)-positive group had a more frequent prevalence of patients with higher transaminase elevations than the HBsAg-negative group. However, among the HBsAg-negative group, patients who were positive for anti-HBV surface antibody and/or anti-HBV core antibody, had more severe liver conditions and fatal outcomes. More careful attention should be paid to alanine transaminase (ALT) elevations higher than 1000 IU/L in patients who had current and previous HBV infection.
format article
author Hiroyuki Amano
Tatsuo Kanda
Hitoshi Mochizuki
Yuichiro Kojima
Yoji Suzuki
Kenji Hosoda
Hiroshi Ashizawa
Yuko Miura
Shotaro Tsunoda
Yosuke Hirotsu
Hiroshi Ohyama
Naoya Kato
Mitsuhiko Moriyama
Shuntaro Obi
Masao Omata
author_facet Hiroyuki Amano
Tatsuo Kanda
Hitoshi Mochizuki
Yuichiro Kojima
Yoji Suzuki
Kenji Hosoda
Hiroshi Ashizawa
Yuko Miura
Shotaro Tsunoda
Yosuke Hirotsu
Hiroshi Ohyama
Naoya Kato
Mitsuhiko Moriyama
Shuntaro Obi
Masao Omata
author_sort Hiroyuki Amano
title The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection
title_short The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection
title_full The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection
title_fullStr The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection
title_full_unstemmed The Use of Electronic Medical Records-Based Big-Data Informatics to Describe ALT Elevations Higher than 1000 IU/L in Patients with or without Hepatitis B Virus Infection
title_sort use of electronic medical records-based big-data informatics to describe alt elevations higher than 1000 iu/l in patients with or without hepatitis b virus infection
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/39b5397846db4ef8aef95e73fdbb60e9
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