usefulness of noninvasive predictors of oesophageal varices in black african cirrhotic patients in côte d'ivoire (west africa)
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2012
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Abstract
Aims. To determine the usefulness of platelet count (PC), spleen diameter (SD) and platelet count/spleen diameter ratio (PC/SD ratio) for the prediction of oesophageal varices (OV) and large OV in black African patients with cirrhosis in Côte d’Ivoire. Materials and Methods. Study was conducted in a training sample (111 patients) and in a validation sample (91 patients). Results. Factors predicting OV were sex: (OR=0.08, P=0.0003), PC (OR = 12.4, P=0.0003), SD (OR = 1.04, P=0.002) in the training sample. The AUROCs (±SE) of the model (cutoff ≥ 0.6), PC (cutoff < 110500), SD (cutoff > 140) and PC/SD ratio (cutoff ≤ 868) were, respectively; 0.879 ± 0.04, 0.768 ± 0.06, 0.679 ± 0.06, 0.793 ± 0.06. For the prediction of large OV, the model’s AUROC (0.850 ± 0.05) was superior to that of PC (0.688 ± 0.06), SD (0.732 ± 0.05) and PC/SD ratio (0.752 ± 0.06). In the validation sample, with PC, PC/SD ratio and the model, upper digestive endoscopy could be obviated respectively in 45.1, 45.1, and 44% of cirrhotic patients. Prophylactic treatment with beta blockers could be started undoubtedly respectively in 36.3, 41.8 and 28.6% of them as having large OV. Conclusion. Non-invasive means could be used to monitor cirrhotic patients and consider treatment in African regions lacking endoscopic facilities.
| Reference Key |
mahassadi2012gastroenterologyusefulness
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| Authors | ;Alassan Kouamé Mahassadi;Fulgence Yao Bathaix;Constant Assi;Aboubacar Demba Bangoura;Emile Allah-Kouadio;Henriette Ya Kissi;Abdoulaye Touré;Stanislas Doffou;Issa Konaté;Alain Koffi Attia;Mathieu Benoit Camara;Thérèse Aya Ndri-Yoman |
| Journal | colloids and surfaces a: physicochemical and engineering aspects |
| Year | 2012 |
| DOI |
10.1155/2012/216390
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| URL | |
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