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Fig 1.

Study schema of enrolled patients and their outcomes.

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Table 1.

Clinical Characteristics of enrolled patients.

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Table 2.

Antiviral therapy for the patients.

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Fig 2.

Kaplan–Meier curve showing mortality in patients with HBV-related acute-on-chronic liver failure.

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Table 3.

Main causes of death at 3 months after study enrollment.

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Table 4.

Main complications in enrolled patients during 3-months follow up.

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Table 5.

Comparison of baseline clinical characteristics between survivors and non-survivors.

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Fig 3.

Receiver operating characteristic curves (ROC) for evaluating 3-months mortality in patients with HBV-related acute-on-chronic liver failure.

The area under ROC curve (95% CI) of the new PI, CTP, MELD and MELD-Na scoring systems were 0.86 (0.75–0.93), 0.63 (0.50–0.74), 0.79 (0.67–0.87) and 0.74 (0.63–0.84), respectively. MELD: The model for end-stage liver disease. MELD-Na: MELD with incorporation of sodium. CTP: Child-Turcotte-Pugh. PI: prognostic index

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Table 6.

Comparison of baseline clinical characteristics between survivors and non-survivors who had a normal serum Cr.

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Fig 4.

Receiver operating characteristic curves (ROC) for evaluating 3-month mortality in patients of HBV-related acute-on-chronic liver failure with normal levels of serum creatinine.

The area under ROC curve (95% CI) of the new PI, CTP, MELD and MELD-Na scoring systems were 0.93 (0.84–0.98), 0.66 (0.52–0.78), 0.77 (0.64–0.87) and 0.68 (0.54–0.80), respectively. MELD: The model for end-stage liver disease. MELD-Na: MELD with incorporation of sodium. CTP: Child-Turcotte-Pugh. PI: prognostic index

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Table 7.

AUCs for ROC and cutoff value for predicting prognosis of HBV-ACLF patients with normal levels of serum Cr.

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Fig 5.

Survival curve in relation to prognostic index (PI) at admission in patients of HBV-related acute-on-chronic liver failure with normal levels of serum Cr.

Dashed line represented the high-risk group (PI ≥ 3.91) and plain line represented the low-risk group (PI < 3.91). The survival rate in low risk group (PI < 3.91) was 94.3%, which was markedly higher than those in the high-risk group (PI ≥ 3.91) (17.4%, P < 0.001).

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