Document Detail


Performance of the AST-to-platelet ratio index as a noninvasive marker of fibrosis in pediatric patients with chronic viral hepatitis.
MedLine Citation:
PMID:  20118806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated the performance of aspartate aminotransferase to platelet ratio index (APRI) as a noninvasive marker of fibrosis and cirrhosis in children with chronic viral hepatitis. All of the patients 0 to 20 years old with chronic hepatitis B or C presenting at a tertiary medical center from 1992 to 2008 were identified. Thirty-six patients were evaluated with 48 biopsy results. The areas under the receiver operating characteristic curve were 0.71 for fibrosis and 0.52 for cirrhosis. When examining subgroups, the APRI performed better in older patients and in those with vertically transmitted hepatitis C virus. Further research into APRI and the other noninvasive markers of fibrosis in children with chronic viral hepatitis is warranted.
Authors:
Katherine E McGoogan; P Brian Smith; Steve S Choi; Wallace Berman; Ravi Jhaveri
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Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  50     ISSN:  1536-4801     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-08-17     Revised Date:  2012-04-02    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  344-6     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aspartate Aminotransferases / analysis*
Biological Markers / blood
Child
Child, Preschool
Female
Fibrosis
Hepatitis B, Chronic / blood*,  pathology
Hepatitis C, Chronic / blood*,  pathology,  transmission
Humans
Infant
Liver / enzymology,  pathology*,  virology
Liver Cirrhosis / diagnosis*,  etiology
Male
Platelet Count
ROC Curve
Young Adult
Grant Support
ID/Acronym/Agency:
K23 HD060040-01/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers; EC 2.6.1.1/Aspartate Aminotransferases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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