OBJECTIVE: To analyze and compare the congruity between Maria and DDW-J standard and Roussel uclaf causality assessment method(RUCAM) for diagnosing drug-induced liver injury (DILI), and evaluate its application. METHODS: In retrospective analysis, the clinical data of 122 patients with DILI with RUCAM ≥3 scores was quantitatively scored by Maria and DDW-J standard, χ2 test was conducted for statistical analysis. RESULTS: Among the 122 cases, 120 cases (98.4%) were classified as “likely and possible” by DDW-J standard, which was significantly higher than the 58 cases (47.5%) that classified as “possible” by Maria standard, with statistical significance; and compared with Maria standard, DDW-J standard was more closer to RUCAM scoring results. CONCLUSIONS: DDW-J standard is superior to Maria standard, and close to RUCAM scoring results for DILI; RUCAM is still the DILI diagnostic evaluation system with high accuracy and operability.
关键词
药物性肝损伤诊断标准RUCAMMaria标准DDW-J标准
Keywords
Drug-induced liver injuryDiagnostic criterionRUCAMMaria standardDDW-J standard