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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...

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Autores principales: Faisal, Muhammad S, Singh, Tavankit, Amin, Hina, Modaresi Esfeh, Jamak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
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.
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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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