Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage

• 作者: Hina Amin Jamak Modaresi Esfeh Muhammad S Faisal Tavankit Singh
• 来源期刊: 世界肝病学杂志:英文版(电子版)
• 学科: 教育
• 关键词: Cirrhosis Band ligation Portal hypertension ASCITES Platelet-albuminbilirubin Model of end stage liver disease
• 年，卷（期）: 2020,（10）
• 页码范围: 880-882
• 页数: 3页
• 分类号: G63

摘要

Platelet-albumin-bilirubin(PALBI)score was proposed by Roayaie et al with modification of previously studied albumin-bilirubin score to include platelet as an indicator of portal hypertension in 2015.Predictive value of this score was recently tested by Elshaarawy et al for re-bleeding in patients presenting with acute variceal hemorrhage.We did a similar study at our center(n=170)to look at incidence of re-bleeding after band ligation defined as drop in 2 units of hemoglobin and witnessed melena or hematemesis within 2 wk of the procedure.We calculated PALBI scores for all patients based on lab values prior to the procedure.Of 25.3%had re-bleeding episodes,area under receiver operating characteristic curve for PALBI as predictor of re-bleeding was 0.601(95%confidence interval:0.502-0.699).PALBI score showed moderate accuracy at predicting re-bleeding in our population.