THE VALUE OF FIBROSIS INDEX FIB-4 IN ASSESSMENT OF LIVER FIBROSIS STAGE IN IN PATIENTS WITH ALCOHOLIC LIVER DISEASE

Thị Thanh Thư Trần1,, Thị Thu Hiền Lê1
1 Thai Nguyen University Of Medicine And Pharmacy

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Abstract

Objectives: To evaluate the value of the FIB-4 in assessing the liver fibrosis stage in patients with alcoholic liver disease. Subjects and Methods: A cross-sectional descriptive study on 49 patients with alcoholic liver disease diagnosed by elastography of liver tissue. Results: Mean age was 54.8 ± 7.4 years, 100% male. The FIB-4 tends to increase gradually according to the severity of liver fibrosis: F1 (1.0 ± 0.6), F2 (3.0 ± 1.6) and to F4 (5.2 ± 2.4). To diagnose cirrhosis: the threshold value of FIB-4 is 2.6; the area under the ROC curve was 0.823 (p < 0.05; 95% CI: 0.679 – 0.967); Sensitivity and specificity were 89.5% and 73%, respectively. The value of FIB-4 in the assessment of liver fibrosis, the area under the ROC curve was 0.77 (p < 0.05, 95% CI: 0.513–1). Conclusion: FIB-4 is valuable in assessing the liver fibrosis stage in patients with alcoholic liver disease.

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References

1. Nguyễn Duy Cường (2014). “Nghiên cứu đặc điểm lâm sàng và cận lâm sàng của xuất huyết tiêu hóa do giãn vỡ tĩnh mạch thực quản ở BN xơ gan có nghiện rượu và không nghiện rượu”. Tạp chí Y học Thực hành số 3-2014
2. Nguyền Thị Kim Loan (2011). “Nghiên cứu đặc điểm lâm sàng , cận lâm sàng, nội soi thực quản ở bệnh nhân xơ gan tại khoa nội tổng hợp Bệnh viện Đa Khoa Long An”.
3. Ling-Zu Kong, et al. (2019), "Pathogenesis, early diagnosis, and therapeutic management of alcoholic liver disease", Int J Mol Sci, 20,(11), 2712.
4. Vallet-Pichard A Mallet V, Napas B, et al (2007), " FIB-4: an inexpensive and accurate marker of fibrosis in HCV infection. comparison with liver biopsy and fibrotest.", Hepathology 2007 Jul; 2046(2001): 2032-2036.
5. Naik BB, et al (2021). Serum fibroscores APRI, FIB-4 and fibroscan in assessment of liver fibrosis in alcoholic associated liver disease. Int J Adv Med 2021;8:551-6.
6. O’Shea R. S., Dasarathy S., McCullough A. J. (2010) "Alcoholic Liver Disease". AASLD practice guidelines - Hepatology, pp. 307-308