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        "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0001">Introduction and Objectives</span><p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Acute liver failure &#40;ALF&#41; is a severe clinical entity that requires a rapid diagnosis and for its proper management requires adequate intensive care support and the possibility of liver transplantation&#46; This study aimed to show clinical epidemiological characteristics of ALF and the problematics of its management in Peru&#46;</p></span> <span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0002">Materials and Methods</span><p id="spara002" class="elsevierStyleSimplePara elsevierViewall">Google forms electronic survey answered &#40;February-March 2023&#41; by specialists who work in hospitals that care for patients with ALF throughout Peru with the sponsorship of 3 Peruvian scientific societies&#58; intensive care &#40;SOPEMI&#41;&#44; Transplant &#40;APTOT&#41; and Hepatology &#40;APEH&#41;&#46;</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Results</span><p id="spara003" class="elsevierStyleSimplePara elsevierViewall">Representatives of 33 public and private hospital centers from the entire health services system responded the survey&#58; Adults&#58; 27&#47;33 &#40;81&#46;8&#37;&#41; and Pediatrics&#58; 6&#47;33 &#40;18&#46;2&#37;&#41;&#46; ALF criteria diagnosis&#58; severe acute liver injury with encephalopathy and impaired synthetic function &#40;INR &#62;&#61;1&#46;5&#41; in a patient with preexisting liver disease and with an illness &#60; 26 weeks duration&#46; Geographical regions&#58; Lima &#40;12 million inhabitants&#58; 66&#46;7&#37;&#41; and 7 other regions of Peru&#58; Arequipa&#44; La Libertad&#44; Junin&#44; Tacna&#44; Cajamarca&#44; Huanuco &#38; Puno &#40;9 million inhabitants&#58; 33&#46;3&#37;&#41;&#46; Specialties&#58; ICU&#58; 36&#46;4&#37;&#44; GI&#47;hepatology&#58; 30&#46;3&#37;&#44; emergency&#58; 15&#46;2&#37;&#44; Pediatric CU&#58; 9&#46;1&#37;&#46; Male&#47;female ratio 2-3&#47;1&#58; 57&#46;6&#37;&#46; ICU stay&#58; &#60;1 week&#58; 12&#46;1&#37;&#44; &#60;4 weeks&#58; 57&#46;6&#37;&#44; 4-8 weeks&#58; 21&#46;2&#37;&#44; &#62; 8 weeks&#58; 10&#46;1&#37;&#46; ALF Diagnostic Criteria severity&#58; MELD&#58; 54&#46;5&#37;&#46; Kings&#58; 24&#46;2&#37;&#46; Clichy&#58; 3&#37;&#46; Possibility of being transferred to a transplant center&#58; 51&#46;5&#37;&#46; ALF Mortality&#58; Multiorgan failure&#58; 90&#46;9&#37;&#46; ICU with multi-organ support&#58; 57&#46;6&#37;&#46;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Conclusions</span><p id="spara004" class="elsevierStyleSimplePara elsevierViewall">ALF in Peru is a serious entity that especially affects the adult population&#44; with high mortality&#44; limited access and limited possibility of liver transplantation&#46; It is necessary to have adequate resources from the government and scientific societies &#40;SOPEMI&#44; APTOT and APEH&#41; to adequately attend this entity which requires support from human resources and adequate care from multidisciplinary health team&#46;</p></span>"
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