Clinical Characteristics and Outcome of Drug-Induced Liver Injury in the Older Patients: From the Young-Old to the Oldest-Old.

Older patients with hepatotoxicity have been scarcely studied in idiosyncratic drug-induced liver injury (DILI) cohorts. We sought the distinctive characteristics of DILI in older patients across age groups. A total of 882 DILI patients included in the Spanish DILI Registry (33% ≥ 65 years) were categorized according to age: "young" (< 65 years); "young-old" (65-74 years); "middle-old" (75-84 years); and "oldest-old" (≥ 85 years). All elderly groups had an increasingly higher comorbidity burden (P < 0.001) and polypharmacy (P < 0.001). There was a relationship between jaundice and hospitalization (P < 0.001), and both were more prevalent in the older age groups, especially in the oldest-old (88% and 69%, respectively), and the DILI episode was more severe (P = 0.029). The proportion of females decreased across age groups from the young to the middle-old, yet in the oldest-old there was a distinct female predominance. Pattern of liver injury shifted towards cholestatic with increasing age among top culprit drugs amoxicillin-clavulanate, atorvastatin, levofloxacin, ibuprofen, and ticlopidine. The best cutoff point for increased odds of cholestatic DILI was 65 years. Older patients had increased non-liver-related mortality (P = 0.030) as shown by the predictive capacity of the Model for End-Stage Liver Disease score (odds ratio (OR) = 1.116; P < 0.001), and comorbidity burden (OR = 4.188; P = 0.001) in the 6-month mortality. Older patients with DILI exhibited an increasingly predominant cholestatic phenotype across a range of culprit drugs, other than amoxicillin-clavulanate, with increased non-liver-related mortality and require a different approach to predict outcome. The oldest DILI patients exhibited a particular phenotype with more severe DILI episodes and need to be considered when stratifying older DILI populations.

Estandarización de metodologías analíticas en el laboratorio de salud pública / Standardization of analytical methodologies in the public health laboratory

Objetivo Planear, diseñar y ejecutar la estandarización de las metodologías analíticas cuyo montaje se ha realizado con anterioridad. Métodos Una vez establecido el método de ensayo se realiza un análisis preliminar de reproducibilidad y un análisis de interferencia por matriz, para luego realizar la validación y calcular los atributos del método. Resultados En el Laboratorio de Salud Pública se estandarizaron trece métodos analíticos a los cuales se les calcularon los atributos de: límite de detección, límite de cuantificación, exactitud, precisión, sensibilidad y rango útil. Conclusiones Se determinó la alta confiabilidad de las pruebas analíticas del Laboratorio de Salud Pública para la generación de intervenciones sanitarias.

Objective To plan, design and execute the standardization of analytical methodologies that have been previously assembled. Methods Once the test method has been established, a preliminary reproducibility analysis and a matrix interference analysis are performed, and then the validation and calculation of the method attributes are carried out. Results Thirteen analytical methods were standardized in the Public Health Laboratory and the following attributes were calculated: limit of detection, limit of quantification, accuracy, precision, sensitivity and useful range. Conclusions The high reliability of the analytical tests of the Public Health Laboratory for the generation of health interventions was determined.