Prognostic and predictive values of meld score, platelet count and pre albumin in patients with compensated and decompensated liver cirrhosis with acute variceal bleeding
Joint Authors
Abd al-Fattah, Sabri
al-Hamshari, Nasir Kamal
Kilani, Yasir Fuad
Salim, M. Najm al-Din
Ismail, Subhi Abd al-Hamid
Mustafa, Badr al-Din Hamidah
al-Dasuqi, Yasir M. M.
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 42, Issue 2 (31 Aug. 2012), pp.443-451, 9 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2012-08-31
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Topics
Abstract EN
The study included 190 patients divided in to 5 groups : 20 normal as healthy control complaining of dyspepsia, GERD etc., 20 patients positive HCV without cirrhosis or varices, 50 patients compensated cirrhosis with varices, 50 patients decompensated cirrhosis with varices and 50 patients with primary acute variceal bleeding.
All were subjected to full history taking, clinical examination, routine laboratory examinations including serum pre-albumin, abdominal ultrasonography.
MELD score was calculated for all patients, Child classification for all patient and upper gastrointestinal endoscope.
The results showed that platelet count was lowest in patients with varices, decrease of platelet count with increase of grading of esophageal varices.
Platelet count was lowest in patients with early bleeding esophageal varices at 6 weeks in comparison to patients with bleeding esophageal varices at 4 months and patients with bleeding esophageal varices at 6 months.
MELD score proved to be sensitive and specific in differentiation between patients with and without varices.
The increasing of MELD score with increase of grade of varices pre albumin (PA) was lowest in patient with esophageal varices and decrease of PA level with increase of grade of varices.
American Psychological Association (APA)
Abd al-Fattah, Sabri& al-Hamshari, Nasir Kamal& Kilani, Yasir Fuad& Salim, M. Najm al-Din& Ismail, Subhi Abd al-Hamid& Mustafa, Badr al-Din Hamidah…[et al.]. 2012. Prognostic and predictive values of meld score, platelet count and pre albumin in patients with compensated and decompensated liver cirrhosis with acute variceal bleeding. Journal of the Egyptian Society of Parasitology،Vol. 42, no. 2, pp.443-451.
https://search.emarefa.net/detail/BIM-347477
Modern Language Association (MLA)
Abd al-Fattah, Sabri…[et al.]. Prognostic and predictive values of meld score, platelet count and pre albumin in patients with compensated and decompensated liver cirrhosis with acute variceal bleeding. Journal of the Egyptian Society of Parasitology Vol. 42, no. 2 (Aug. 2012), pp.443-451.
https://search.emarefa.net/detail/BIM-347477
American Medical Association (AMA)
Abd al-Fattah, Sabri& al-Hamshari, Nasir Kamal& Kilani, Yasir Fuad& Salim, M. Najm al-Din& Ismail, Subhi Abd al-Hamid& Mustafa, Badr al-Din Hamidah…[et al.]. Prognostic and predictive values of meld score, platelet count and pre albumin in patients with compensated and decompensated liver cirrhosis with acute variceal bleeding. Journal of the Egyptian Society of Parasitology. 2012. Vol. 42, no. 2, pp.443-451.
https://search.emarefa.net/detail/BIM-347477
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 451
Record ID
BIM-347477