Combined Albumin-Bilirubin Grade and Skeletal Muscle Mass as a Predictor in Liver Cirrhosis

Author:

Nishikawa Hiroki,Enomoto Hirayuki,Yoh Kazunori,Iwata Yoshinori,Sakai Yoshiyuki,Kishino Kyohei,Ikeda Naoto,Takashima Tomoyuki,Aizawa Nobuhiro,Takata Ryo,Hasegawa Kunihiro,Ishii Noriko,Yuri Yukihisa,Nishimura Takashi,Iijima Hiroko,Nishiguchi Shuhei

Abstract

We aimed to compare the prognostic impact among albumin-bilirubin (ALBI) grade, the Child-Pugh classification and our proposed combined ALBI grade and skeletal muscle mass (SMM) grading system in patients with liver cirrhosis (LC) (n = 468, 254 males and 214 females) using the Akaike information criterion (AIC) and time-dependent receiver operating characteristics (ROC) curve analysis. SMM was tested using bioimpedance analysis. Male subjects with skeletal muscle mass index (SMI) <7.0 cm2/m2 and female subjects with SMI <5.7 cm2/m2 were defined as having low SMM. Patients with ALBI grade 1, 2 and 3 were given 1, 2 and 3 points. Patients with and without low SMM were given 1 and 0 point, respectively. The sum of the point of ALBI (1, 2, or 3) and SMM (0 or 1) was defined as the ALBI-SMM grade. The value obtained with the AIC for survival by the ALBI-SMM grade was the lowest among three assessment methods (AIC: 513.418 in ALBI grade, 533.584 in Child-Pugh classification and 493.72 in ALBI-SMM grade). In time-dependent ROC analysis, all area under the ROCs of the ALBI-SMM grade in each time point were the highest among three assessment methods. In conclusion, the ALBI-SMM grading system can be helpful for LC patients.

Publisher

MDPI AG

Subject

General Medicine

Cited by 12 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Identifying the Biomarker Profile of Pre-Frail and Frail People: A Cross-Sectional Analysis from UK Biobank;International Journal of Environmental Research and Public Health;2023-01-29

2. Sarcopenia as a prognostic predictor of liver cirrhosis: a multicentre study in China;Journal of Cachexia, Sarcopenia and Muscle;2021-09-14

3. Tanshinone IIA exerts therapeutic effects by acting on endogenous stem cells in rats with liver cirrhosis;Biomedicine & Pharmacotherapy;2020-12

4. Liver Cirrhosis and Sarcopenia from the Viewpoint of Dysbiosis;International Journal of Molecular Sciences;2020-07-24

5. Sarcopenia in chronic liver diseases: a translational overview;Expert Review of Gastroenterology & Hepatology;2020-05-03

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3