Volume 137, Issue 3, Pages e1 (September 2009)

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Volume 137, Issue 3, Pages 856-864.e1 (September 2009) Intravenous N-Acetylcysteine Improves Transplant-Free Survival in Early Stage Non- Acetaminophen Acute Liver Failure  William M. Lee, Linda S. Hynan, Lorenzo Rossaro, Robert J. Fontana, R. Todd Stravitz, Anne M. Larson, Timothy J. Davern, Natalie G. Murray, Timothy McCashland, Joan S. Reisch, Patricia R. Robuck  Gastroenterology  Volume 137, Issue 3, Pages 856-864.e1 (September 2009) DOI: 10.1053/j.gastro.2009.06.006 Copyright © 2009 AGA Institute Terms and Conditions

Figure 1 Kaplan–Meier curve for each group (treatment by coma category) was used to show overall survival to 365 days. In separate analyses, patients in the NAC I–II group showed significantly higher survival rates than either placebo III–IV (P = .012) or NAC III–IV (P = .002) groups. Number of patients with censored data before 365 days: 14 in the NAC I–II, 5 in the NAC III–IV, 12 in the placebo I–II, and 7 in the placebo III–IV groups. Gastroenterology 2009 137, 856-864.e1DOI: (10.1053/j.gastro.2009.06.006) Copyright © 2009 AGA Institute Terms and Conditions

Figure 2 Kaplan–Meier curves for each group (treatment by coma category) showing transplant-free survival to 365 days. Patients in the NAC I–II group showed significantly higher transplant-free survival rates than the other 3 groups (largest P = .017). Number of patients with censored data before 365 days: 10 in the NAC I–II, 2 in the NAC III–IV, 5 in the placebo I–II, and 2 in the placebo III–IV groups. Note that 2 patients in the NAC III–IV group were censored, 1 patient at day 34 and the other patient at day 58. Gastroenterology 2009 137, 856-864.e1DOI: (10.1053/j.gastro.2009.06.006) Copyright © 2009 AGA Institute Terms and Conditions

Figure 3 Kaplan–Meier curves for each group (treatment by coma category) showing number of days to transplantation to 365 days. Patients in the NAC I–II group showed significantly longer time to transplantation than the other 3 groups (largest P = .032). Number of patients with censored data before 365 days: 10 in the NAC I–II, 2 in the NAC III–IV, 5 in the placebo I–II, and 3 in the placebo III–IV groups. Note that 2 patients in the NAC III–IV group were censored, 1 patient at day 34 and the other patient at day 58. Gastroenterology 2009 137, 856-864.e1DOI: (10.1053/j.gastro.2009.06.006) Copyright © 2009 AGA Institute Terms and Conditions

Supplementary Figure 1 Study design. A total of 820 patients were screened, leading to 173 patients enrolled in the final study. IRB, institutional review board; IV, intravenous. Gastroenterology 2009 137, 856-864.e1DOI: (10.1053/j.gastro.2009.06.006) Copyright © 2009 AGA Institute Terms and Conditions