ISSN: 1859 - 2872
The value of platelet-albumin-bilirubin score for prognosis of acute variceal bleeding in patients with cirrhosis
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Abstract
Objective: To determine the value of platelet-albumin-bilirubin (PALBI) score in predicting early rebleeding and in-hospital mortality in cirrhotic patients with acute variceal bleeding (AVB). Subject and method: A cross-sectional descriptive study carried out on 222 cirrhotic patients with AVB in 103 Military Hospital and 108 Military Central Hospital between September 2020 and May 2022. To compare PALBI score with the rate of early rebleeding and in-hospital mortality. Result: PALBI score had a good prognostic power in in-hospital mortality (AUROC = 0.8, 95%CI: 0.69-0.91, p<0.001), at the cut-off value of -1.63, PALBI score had Se: 86.7%, Sp: 63.3%) and an acceptable predicting value in re-bleeding (AUROC 0.7, 95%CI: 0.59-0.81, p=0.004), at the cut-off value of -1.45 PALBI score had Se: 55.0% and Sp: 82.2%. Conclusion: PALBI score has a significant perfomance in the prognosis of early rebleeding and in-hospital mortality in cirrhotic patients with AVB.
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References
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