APRI Score Novel may Predict Severe Dengue Complications, suggests a study published in the Journal of Family Medicine and Primary Care.
The AST/platelet ratio index (APRI) is a well-researched indicator of liver fibrosis. Some studies have shown that APRI can be used as a predictor of severe dengue, but the data is limited. As dengue epidemics are common in our country with limited healthcare resources, we believe APRI can help emergency physicians/primary physicians in predicting the severity of dengue and plan for the appropriate use of limited healthcare resources.
A study was done to determine the utility of APRI as a predictor of severe dengue. 2) To determine the association of APRI with length of hospital stay and platelet requirement. A retrospective cross-sectional study was done on patients presented to the Emergency Medicine department at Travancore Medicity Medical College with a positive Dengue NS1 antigen or IgM antibody. Results: They found from the univariate analysis results that ALT > 74.5 IU/L has a sensitivity of 59.6 and a specificity of 76.3 (AUC: 0.696; 95% CI: 0.606–0.786), AST > 160.5 IU/L has a sensitivity of 42.3 and a specificity of 93.7 (AUC: 0.747; 95% CI: 0.665–0.829), and APRI > 3.2 has a sensitivity of 69.2 and a specificity of 84.2 (AUC: 0.806; 95% CI: 0.72–0.884) to predict severe dengue. Patients with an APRI of >3.2 required a mean hospital stay of 5.47 days (P = 0.005); 27 (81.8%) requiring platelet transfusion had an APRI of > 3.2 (P = 0.00). APRI is a straightforward index that can be easily derived from AST and platelet values. APRI values of >3.2 can predict severe dengue with a sensitivity of 69.2 and a specificity of 84.2. APRI values of >3.2 are also associated with the length of hospital stay and requirement of platelet transfusion.
Reference:
Jayachandran AK, Nelson V, Anisha K. APRI as a predictor of severe dengue fever. J Family Med Prim Care. 2024 Feb;13(2):613-618. doi: 10.4103/jfmpc.jfmpc_1127_23. Epub 2024 Mar 6. PMID: 38605798; PMCID: PMC11006074.
Keywords:
APRI, Score, Novel, Predict, Severe, Dengue, Complications, study, Age, ALT, APRI, AST, chronic kidney disease, dengue, diabetes, gender, hematocrit, hypertension, platelet, severe dengue,Journal of Family Medicine and Primary Care, Jayachandran AK, Nelson V, Anisha K.
from Medical News, Health News Latest, Medical News Today - Medical Dialogues | https://ift.tt/ENxCsPl
0 Comments