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Date Published: 15/12/2025
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DOI: https://doi.org/10.51298/vmj.v556i3.16468
Issue
Vol. 556 No. 3 (2025)
Section
Các bài báo
How to Cite
Nông, T. L., Dương, H. T., & Nguyễn, T. H. (2025). VALUE OF PALBI SCORE IN PROGNOSIS OF GASTROINTESTINAL BLEEDING DUE TO RUPTURE OF ESOPHAGEAL VARICOSES IN PATIENTS WITH LIVER CIRRHOSIS TREATED AT THAI NGUYEN NATIONAL HOSPITAL. Vietnam Medical Journal, 556(3). https://doi.org/10.51298/vmj.v556i3.16468

VALUE OF PALBI SCORE IN PROGNOSIS OF GASTROINTESTINAL BLEEDING DUE TO RUPTURE OF ESOPHAGEAL VARICOSES IN PATIENTS WITH LIVER CIRRHOSIS TREATED AT THAI NGUYEN NATIONAL HOSPITAL

Thị Linh Nông, Hồng Thái Dương, Thị Hiền Nguyễn

Main Article Content

Abstract

Objective: To evaluate the prognostic value of the PALBI score in predicting gastrointestinal bleeding due to ruptured esophageal varices in cirrhotic patients treated at Thai Nguyen National Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 178 cirrhotic patients diagnosed with gastrointestinal bleeding from ruptured esophageal varices confirmed by esophagogastroduodenoscopy, from July 2024 to July 2025 at Thai Nguyen National Hospital. Results: The PALBI score demonstrated excellent prognostic performance for in-hospital mortality (AUROC = 0.82; 95% CI: 0.75–0.89; p = 0.000). At the cut-off value of –0.79, the sensitivity was 81.1% and specificity was 86.6%. The PALBI score also showed excellent predictive value for early rebleeding (AUROC = 0.81; 95% CI: 0.70–0.91; p = 0.000). At the cut-off value of –0.71, the sensitivity was 80.9% and specificity was 87.5%. Conclusion: The PALBI score is a useful prognostic tool with high predictive accuracy for both early rebleeding and in-hospital mortality in cirrhotic patients with ruptured esophageal varices. Incorporating PALBI into clinical practice may enhance early risk stratification, support timely therapeutic decision-making, and contribute to improved patient outcomes

Article Details

Keywords

PALBI, rebleeding, mortality, cirrhosis, gastrointestinal bleeding.

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