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Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage
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 patient...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7643215/ https://www.ncbi.nlm.nih.gov/pubmed/33200025 http://dx.doi.org/10.4254/wjh.v12.i10.880 |
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author | Faisal, Muhammad S Singh, Tavankit Amin, Hina Modaresi Esfeh, Jamak |
author_facet | Faisal, Muhammad S Singh, Tavankit Amin, Hina Modaresi Esfeh, Jamak |
author_sort | Faisal, Muhammad S |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7643215 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-76432152020-11-15 Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage Faisal, Muhammad S Singh, Tavankit Amin, Hina Modaresi Esfeh, Jamak World J Hepatol Letter to the Editor 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. Baishideng Publishing Group Inc 2020-10-27 2020-10-27 /pmc/articles/PMC7643215/ /pubmed/33200025 http://dx.doi.org/10.4254/wjh.v12.i10.880 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Letter to the Editor Faisal, Muhammad S Singh, Tavankit Amin, Hina Modaresi Esfeh, Jamak Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
title | Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
title_full | Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
title_fullStr | Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
title_full_unstemmed | Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
title_short | Role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
title_sort | role of platelet-albumin-bilirubin score in predicting re-bleeding after band ligation for acute variceal hemorrhage |
topic | Letter to the Editor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7643215/ https://www.ncbi.nlm.nih.gov/pubmed/33200025 http://dx.doi.org/10.4254/wjh.v12.i10.880 |
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