Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis

To assess the relationship between aspartate aminotransferase-platelet ratio index (APRI) and liver fibrosis in children with chronic hepatocellular and biliary cholestatic liver diseases. A retrospective review of one hundred children's demographic and laboratory findings concurrent wit...

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Main Authors: Aysel Ünlüsoy Aksu, Sinan Sarı, Güldal Yılmaz, Ödül Eğritaş Gürkan, Zeliha Demirtaş, Buket Dalgıç
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2015-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1273
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author Aysel Ünlüsoy Aksu
Sinan Sarı
Güldal Yılmaz
Ödül Eğritaş Gürkan
Zeliha Demirtaş
Buket Dalgıç
author_facet Aysel Ünlüsoy Aksu
Sinan Sarı
Güldal Yılmaz
Ödül Eğritaş Gürkan
Zeliha Demirtaş
Buket Dalgıç
author_sort Aysel Ünlüsoy Aksu
collection DOAJ
description To assess the relationship between aspartate aminotransferase-platelet ratio index (APRI) and liver fibrosis in children with chronic hepatocellular and biliary cholestatic liver diseases. A retrospective review of one hundred children's demographic and laboratory findings concurrent with liver biopsy, who were followed-up with prolonged cholestasis. The diagnostic accuracy of the APRI was assessed by receiver operating characteristic (ROC) curves. Advanced fibrosis was more common in the hepatocellular group. The APRI values of the two groups were similar. The patients with advanced fibrosis had significantly higher APRI values than patients with mild fibrosis, in both the hepatocellular and biliary groups. The areas under the ROC were 0.68 and 0.81 in the hepatocellular and biliary groups respectively. The cut-off values of APRI for discriminating advanced fibrosis were 0.93 (65% sensitivity, 69% specificity) in the hepatocellular group and 2.35 (62% sensitivity, 96% specificity) in the biliary group. APRI may be most efficient for discriminating between advanced and mild fibrosis in biliary cholestatic liver disease patients.
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issn 0041-4301
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publishDate 2015-10-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-18e4f9d2652048b099a31f903ebfe7072025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212015-10-01575Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosisAysel Ünlüsoy Aksu0Sinan SarıGüldal YılmazÖdül Eğritaş GürkanZeliha DemirtaşBuket DalgıçDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey. To assess the relationship between aspartate aminotransferase-platelet ratio index (APRI) and liver fibrosis in children with chronic hepatocellular and biliary cholestatic liver diseases. A retrospective review of one hundred children's demographic and laboratory findings concurrent with liver biopsy, who were followed-up with prolonged cholestasis. The diagnostic accuracy of the APRI was assessed by receiver operating characteristic (ROC) curves. Advanced fibrosis was more common in the hepatocellular group. The APRI values of the two groups were similar. The patients with advanced fibrosis had significantly higher APRI values than patients with mild fibrosis, in both the hepatocellular and biliary groups. The areas under the ROC were 0.68 and 0.81 in the hepatocellular and biliary groups respectively. The cut-off values of APRI for discriminating advanced fibrosis were 0.93 (65% sensitivity, 69% specificity) in the hepatocellular group and 2.35 (62% sensitivity, 96% specificity) in the biliary group. APRI may be most efficient for discriminating between advanced and mild fibrosis in biliary cholestatic liver disease patients. https://turkjpediatr.org/article/view/1273
spellingShingle Aysel Ünlüsoy Aksu
Sinan Sarı
Güldal Yılmaz
Ödül Eğritaş Gürkan
Zeliha Demirtaş
Buket Dalgıç
Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
The Turkish Journal of Pediatrics
title Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
title_full Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
title_fullStr Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
title_full_unstemmed Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
title_short Aspartate aminotransferase-to-platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
title_sort aspartate aminotransferase to platelet ratio index in children with cholestatic liver diseases to assess liver fibrosis
url https://turkjpediatr.org/article/view/1273
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