Journal
DIGESTIVE DISEASES
Volume 39, Issue 3, Pages 258-265Publisher
KARGER
DOI: 10.1159/000511138
Keywords
Platelet-albumin-bilirubin score; Albumin-bilirubin score; Posthepatectomy liver failure; Liver function; Portal hypertension
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Funding
- Shaanxi social development fund [2020SF-067]
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Through a retrospective study of patients undergoing hepatectomy, the I-PALBI score was found to be the most effective predictive model for PHLF, with improved prediction accuracy compared to other scoring systems.
Background: Posthepatectomy liver failure (PHLF) is one of the major complications of liver resection that causes perioperative mortality. Accurate preoperative assessment of PHLF is of great significance to reduce the complication rate after hepatectomy and improve the survival rate. Methods: A retrospective study of patients who received hepatectomy from January 2016 to October 2019 at Tang Du Hospital was performed. The area under the receiver operating characteristic (ROC) curve was used to compare the predictive effects of various scoring models on PHLF. Results: The area under the ROC curve of platelet-albumin-bilirubin (PALBI) score, new platelet-albumin-bilirubin (I-PALBI) score, ALBI score, and MELD score was, respectively, 0.647, 0.772, 0.677, and 0.686 (p < 0.01). The I-PALBI score was significantly better than the other scores. Conclusions: I-PALBI score can be used as a predictive score of PHLF, and its prediction accuracy is better than other scoring systems.
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