KHẢO SÁT GIÁ TRỊ THANG ĐIỂM ABIC (AGE BILIRUBIN INR CREATININE) TRONG TIÊN LƯỢNG BỆNH GAN MẠN DO RƯỢU

Abstract

Introduction: Alcoholic liver disease includes many clinical disorders: alcoholic fatty liver, alcoholic hepatitis (AH) of various degrees, alcoholic cirrhosis (AC) with its complications and acute alcoholic hepatitis manifest as acute exacerbations of chronic liver failure, caused by prolonged alcohol use. There are many indicators to evaluate the prognosis of patients with alcoholic liver disease, including the ABIC score is used more and more widely. Objects: Survey the value of the ABIC score in predicting alcoholic chronic liver disease. Study subjects and methods: Retrospective and prospective study. 62 patients diagnosed with alcoholic chronic liver disease according to the 2018 American College of Gastroenterology (ACG) diagnostic guidelines were treated at the Department of General Internal Medicine, Hanoi Medical University Hospital from January 2022 to January 2023. Results and conclusions: There were 62 patients who met the criteria. The average age of the subjects was 53.9 ± 9.4 years. The average ABIC score is 7.28 ± 1.17, the highest is 10.06, the lowest is 4.42. There is a relationship between ABIC score and 30-day mortality prognosis of alcoholic chronic liver disease with cut-off value 8.26, AUROC 0.884, p = 0.002 < 0.05, Sensitivity Se is 83.3% and Specificity Sp is 89.3%.