Clinical Features of Portal Hypertension and Their Prognostic Implications in Patients With Autoimmune Hepatitis Article Swipe
L Burghart
,
Sonja Treiber
,
David JM Bauer
,
Emina Halilbasic
,
Benedikt Hofer
,
Mattias Mandorfer
,
Michael Gschwantler
,
Caroline Schwarz
,
Michael Trauner
,
Thomas Reiberger
,
Albert Friedrich Stättermayer
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/apt.70349
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/apt.70349
Background and Aims Autoimmune hepatitis (AIH) may progress to advanced chronic liver disease (ACLD) with clinically significant portal hypertension (CSPH). In this study, we evaluated the prevalence of different clinical CSPH features and their prognostic impact regarding decompensation, liver transplantation (LTX) and death in patients with AIH. Method Patients with confirmed AIH diagnosis (sIAIHG‐Score ≥ 6) managed at the Vienna General Hospital between 2005 and 2023 were retrospectively analysed. Results Among 271 included patients (76.4% female) with AIH, n = 60 (22.1%) presented clinical features of CSPH at diagnosis. During a median follow‐up of 7.2 (IQR 2.9–12.7) years, the proportion with CSPH features increased to n = 104 (38.4%). In a multivariable cox regression analysis, both compensated (aHR: 5.77, 95% CI: [1.47–22.71], p = 0.012) and decompensated features of CSPH (aHR: 15.73, 95% CI: [4.17–59.33], p < 0.0001) were associated with an increased risk of LTX/death, whereas complete biochemical response and higher albumin levels were identified as protective factors. The BAVENO‐VII criteria for ruling‐out CSPH (liver stiffness < 15 kPa and platelet count ≥ 150 G/L) identified AIH patients with a negligible 10Y cumulative incidence of hepatic decompensation (0.8%) and a favourable 10Y transplant‐free survival (97.8%). Overall, n = 16 (5.9%) patients died, with n = 10 deaths caused by CSPH‐related complications. Conclusion In patients with AIH, clinical features of CSPH reflect the risk of future hepatic decompensation and mortality. Hence, regular screening for CSPH in AIH patients seems warranted to ensure timely initiation of adequate CSPH‐directed treatment.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/apt.70349
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apt.70349
- OA Status
- hybrid
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4413789929
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4413789929Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/apt.70349Digital Object Identifier
- Title
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Clinical Features of Portal Hypertension and Their Prognostic Implications in Patients With Autoimmune HepatitisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-08-28Full publication date if available
- Authors
-
L Burghart, Sonja Treiber, David JM Bauer, Emina Halilbasic, Benedikt Hofer, Mattias Mandorfer, Michael Gschwantler, Caroline Schwarz, Michael Trauner, Thomas Reiberger, Albert Friedrich StättermayerList of authors in order
- Landing page
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https://doi.org/10.1111/apt.70349Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apt.70349Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apt.70349Direct OA link when available
- Concepts
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Medicine, Autoimmune hepatitis, Decompensation, Internal medicine, Portal hypertension, Gastroenterology, Liver transplantation, Incidence (geometry), Proportional hazards model, Hepatitis, Cirrhosis, Transplantation, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2995815973, https://openalex.org/W2802906787, https://openalex.org/W3208004068, https://openalex.org/W4384344316, https://openalex.org/W2022202791, https://openalex.org/W1526889612, https://openalex.org/W1973130325, https://openalex.org/W2331543379, https://openalex.org/W4410219385, https://openalex.org/W2000176381, https://openalex.org/W2605729742, https://openalex.org/W4200473175, https://openalex.org/W2800551238, https://openalex.org/W3020850759, https://openalex.org/W4229070082, https://openalex.org/W2166653283, https://openalex.org/W4399051596, https://openalex.org/W2775729164, https://openalex.org/W1886081582, https://openalex.org/W3099135021, https://openalex.org/W2041465291, https://openalex.org/W2076529570, https://openalex.org/W2282907691, https://openalex.org/W3101733988, https://openalex.org/W2403970922, https://openalex.org/W3036992505, https://openalex.org/W1985963090, https://openalex.org/W1498948971, https://openalex.org/W4382010689, https://openalex.org/W4200574368, https://openalex.org/W2922822790, https://openalex.org/W2173063312, https://openalex.org/W2071715669, https://openalex.org/W2129228826 |
| referenced_works_count | 34 |
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| abstract_inverted_index.2023 | 66 |
| abstract_inverted_index.AIH, | 78, 217 |
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| abstract_inverted_index.count | 173 |
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| abstract_inverted_index.(5.9%) | 201 |
| abstract_inverted_index.(76.4% | 75 |
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| abstract_inverted_index.0.012) | 125 |
| abstract_inverted_index.15.73, | 132 |
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| abstract_inverted_index.(22.1%) | 82 |
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| abstract_inverted_index.whereas | 147 |
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| abstract_inverted_index.(97.8%). | 196 |
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| abstract_inverted_index.[4.17–59.33], | 135 |
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| corresponding_author_ids | https://openalex.org/A5078099705 |
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| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I2802328216, https://openalex.org/I76134821 |
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| citation_normalized_percentile.is_in_top_10_percent | False |