Platelet count/spleen volume ratio has a good predictive value for esophageal varices in patients with hepatitis B liver cirrhosis
Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/...
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| Published in | PloS one Vol. 16; no. 12; p. e0260774 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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United States
Public Library of Science
02.12.2021
Public Library of Science (PLoS) |
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| Online Access | Get full text |
| ISSN | 1932-6203 1932-6203 |
| DOI | 10.1371/journal.pone.0260774 |
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| Abstract | Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed.
The area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05).
PSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. |
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| AbstractList | Background & aims Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed. Results The area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05). Conclusion PSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed. The area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05). PSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. Background & aimsPlatelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed.ResultsThe area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05).ConclusionPSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed. The area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05). PSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed.BACKGROUND & AIMSPlatelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed.The area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05).RESULTSThe area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05).PSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis.CONCLUSIONPSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. Background & aims Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We obtained spleen volume (SV) by magnetic resonance examination, the purpose of this study was to evaluate the clinical value of platelet count/spleen volume ratio (PSVR) and spleen volume in predicting EV in patients with hepatitis B cirrhosis. Methods: This study was a diagnostic accuracy experiment and retrospective, 199 patients with hepatitis B cirrhosis who met the criteria were selected as the research subjects. All patients were collected blood samples in the morning on an empty stomach within 2 days, and related indicators were tested. Within 10 days, they received electronic gastroscopy and abdominal magnetic resonance examination. According to the Child-Pugh score, the patients were divided into groups with or without EV and with or without high-risk esophageal varices (HRV), then statistical analysis of the two groups was performed. Results The area under the curve (AUC) of PSVR in predicting EV or HRV in each group (85.5%-92.6%) was higher than PSDR, SV, spleen diameter, and platelet count. The AUC of PSDR in diagnosing HRV was higher than SV, and the AUC of SV in diagnosing EV was higher than PSDR, but the difference was not significant (P>0.05). In Child-Pugh A patients, Multivariate logistic regression analysis showed PSVR could be a predictor of HRV (P<0.05), SV was a reliable predictor of EV (P<0.05). Conclusion PSVR is better than PSDR, spleen diameter, platelet count in predicting EV; in the absence of serological results, SV could be used instead of PSDR. Both can predict EV or HRV of patients with hepatitis B cirrhosis. |
| Audience | Academic |
| Author | Chen, Wei Yu, Sihao Jiang, Zicheng |
| AuthorAffiliation | 1 Department of Gastroenterology, Xiangyang No.1 People’s Hospital, Hubei University of Medicine, Xiangyang City, Hubei Province, P.R.C 2 Department of Infectious Diseases, Ankang Central Hospital, Hubei University of Medicine, Ankang City, Shanxi Province, P.R.C School of Digestive & Liver Diseases, Institute of Post Graduate Medical Education & Research, INDIA |
| AuthorAffiliation_xml | – name: 2 Department of Infectious Diseases, Ankang Central Hospital, Hubei University of Medicine, Ankang City, Shanxi Province, P.R.C – name: 1 Department of Gastroenterology, Xiangyang No.1 People’s Hospital, Hubei University of Medicine, Xiangyang City, Hubei Province, P.R.C – name: School of Digestive & Liver Diseases, Institute of Post Graduate Medical Education & Research, INDIA |
| Author_xml | – sequence: 1 givenname: Sihao orcidid: 0000-0001-9658-727X surname: Yu fullname: Yu, Sihao – sequence: 2 givenname: Wei surname: Chen fullname: Chen, Wei – sequence: 3 givenname: Zicheng surname: Jiang fullname: Jiang, Zicheng |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34855845$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_12677_acm_2024_1441059 crossref_primary_10_1016_j_heliyon_2023_e23229 crossref_primary_10_1186_s13244_024_01727_3 crossref_primary_10_7759_cureus_59627 crossref_primary_10_1016_j_dld_2022_09_019 crossref_primary_10_3748_wjg_v29_i25_4072 crossref_primary_10_1097_MEG_0000000000002542 crossref_primary_10_1155_2023_7938732 crossref_primary_10_1186_s43162_024_00311_x crossref_primary_10_12677_ACM_2022_12121716 crossref_primary_10_12677_ACM_2022_12121591 crossref_primary_10_1007_s00330_024_11222_4 |
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| References_xml | – volume: 63 start-page: 743 year: 2015 ident: pone.0260774.ref006 article-title: Expanding consensus in portal hypertension: Report of the Baveno VI Consensus Workshop: Stratifying risk and individualizing care for portal hypertension publication-title: J Hepatol doi: 10.1016/j.jhep.2015.05.022 – volume: 144 start-page: 102 year: 2013 ident: pone.0260774.ref008 article-title: Elastography, spleen size, and platelet count identify portal hypertension in patients with compensated cirrhosis publication-title: Gastroenterology doi: 10.1053/j.gastro.2012.10.001 – volume: 52 start-page: 1200 year: 2003 ident: pone.0260774.ref011 article-title: Platelet count/spleen diameter ratio: Proposal and validation of a non-invasive parameter to predict the presence of oesophageal varices in patients with liver cirrhosis publication-title: Gut doi: 10.1136/gut.52.8.1200 – volume: 65 start-page: 310 year: 2017 ident: pone.0260774.ref001 article-title: Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 publication-title: Hepatology doi: 10.1002/hep.28906 – volume: 64 start-page: 1680 year: 2015 ident: pone.0260774.ref003 article-title: UK guidelines on the management of variceal haemorrhage in cirrhotic patients publication-title: Gut doi: 10.1136/gutjnl-2015-309262 – volume: 22 start-page: 825 year: 2008 ident: pone.0260774.ref004 article-title: Platelet count to spleen diameter ratio for the diagnosis of esophageal varices: Is it feasible? publication-title: Can J Gastroenterol doi: 10.1155/2008/287274 – volume: 46 start-page: 922 year: 2007 ident: pone.0260774.ref002 article-title: Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis publication-title: Hepatology doi: 10.1002/hep.21907 – volume: 41 start-page: 291 year: 2017 ident: pone.0260774.ref016 article-title: Ethanol Induces Platelet Apoptosis publication-title: Alcohol Clin Exp Res doi: 10.1111/acer.13295 – volume: 38 start-page: 258 year: 2003 ident: pone.0260774.ref010 article-title: The management of ascites in cirrhosis: Report on the consensus conference of The International Ascites Club publication-title: Hepatology doi: 10.1053/jhep.2003.50315 – volume: 37 start-page: 779 year: 2005 ident: pone.0260774.ref018 article-title: Application of the platelet count/spleen diameter ratio to rule out the presence of oesophageal varices in patients with cirrhosis: A validation study based on follow-up publication-title: Dig Liver Dis doi: 10.1016/j.dld.2005.05.007 – year: 2020 ident: pone.0260774.ref009 article-title: Baveno VI criteria and spleen stiffness measurement rule out high-risk varices in virally suppressed HBV-related cirrhosis publication-title: J Hepatol – volume: 10 start-page: 180 year: 1978 ident: pone.0260774.ref015 article-title: Out-Patient Gastroscopy Risks publication-title: Endoscopy doi: 10.1055/s-0028-1098289 – volume: 2017 year: 2017 ident: pone.0260774.ref013 article-title: Platelet Count to Spleen Diameter Ratio for the Diagnosis of Gastroesophageal Varices in Liver Cirrhosis: A Systematic Review and Meta-Analysis publication-title: Gastroenterol Res Pract doi: 10.1155/2017/7407506 – volume: 45 start-page: 230 year: 2006 ident: pone.0260774.ref007 article-title: Liver stiffness measurement selects patients with cirrhosis at risk of bearing large oesophageal varices publication-title: J Hepatol doi: 10.1016/j.jhep.2006.04.006 – volume: 15 start-page: 289 year: 2016 ident: pone.0260774.ref005 article-title: Report of the baveno VI consensus workshop publication-title: Ann Hepatol – volume: 101 start-page: 2511 year: 2006 ident: pone.0260774.ref012 article-title: Platelet count/spleen diameter ratio for the noninvasive diagnosis of esophageal varices: Results of a multicenter, prospective, validation study publication-title: Am J Gastroenterol doi: 10.1111/j.1572-0241.2006.00874.x – start-page: 2017 year: 2017 ident: pone.0260774.ref014 article-title: Platelet count, spleen length, and platelet count-to-spleen length ratio for the diagnosis of oesophageal varices in people with chronic liver disease or portal vein thrombosis publication-title: Cochrane Database Syst Rev – volume: 279 year: 2016 ident: pone.0260774.ref017 article-title: ULTRASONOGRAPHY: Reference Values for Spleen Size publication-title: Radiology |
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| Snippet | Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal varices (EV). We... Background & aims Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal... Background & aimsPlatelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal... Background & aims Platelet count/spleen longest diameter ratio (PSDR) is widely used in clinical practice due to its good performance in predicting esophageal... |
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| SubjectTerms | Abdomen Adult Ascites Biology and Life Sciences Blood platelets Chen, Wei Cirrhosis Complications and side effects Diagnosis Electrolytes Endoscopy Esophageal and Gastric Varices - blood Esophageal and Gastric Varices - diagnosis Esophageal and Gastric Varices - etiology Esophageal varices Esophagus Female Follow-Up Studies Gastroenterology Gastroscopy Hepatitis Hepatitis B Hepatitis B - complications Hepatitis B - virology Hepatitis B virus - isolation & purification Hospitals Humans Liver cirrhosis Liver Cirrhosis - complications Liver Cirrhosis - virology Magnetic resonance Magnetic resonance imaging Male Medicine Medicine and Health Sciences Middle Aged Patients Performance prediction Platelet Count Platelets Predictive Value of Tests Regression analysis Research and Analysis Methods Resonance Retrospective Studies ROC Curve Spleen Spleen - pathology Statistical analysis Statistical methods Ultrasonic imaging |
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| Title | Platelet count/spleen volume ratio has a good predictive value for esophageal varices in patients with hepatitis B liver cirrhosis |
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