1. Comparison of indocyanine green clearance with Child's-Pugh score and hepatic histology: a multivariate analysis
- Author
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Sandeep, Mukherjee, Mary A M, Rogers, and Borys, Buniak
- Subjects
Indocyanine Green ,Liver Cirrhosis ,Male ,Metabolic Clearance Rate ,Multivariate Analysis ,Humans ,Female ,Middle Aged ,Coloring Agents - Abstract
Indocyanine green clearance, measured by percentage disappearance rate, detects alterations in liver function and may be used as a non-invasive determinant of hepatic reserve. The aims of this study were to compare liver histology and Child's-Pugh score with percentage disappearance rate and determine which variables correlated with PDR.Child's-Pugh score, liver function tests, liver biopsies and indocyanine green testing (0.5mg/kg) were performed in 102 consecutive patients with cirrhosis of diverse etiologies. Indocyanine green concentration was determined using spectrophotometric analysis (806nm) and plotted logarithmically with Michaelis-Menten kinetics to calculate the percentage disappearance rate. Liver biopsies were graded using the modified Knodell score to obtain a histological activity index.In bivariable analysis, percentage disappearance rate significantly correlated with Child's-Pugh score, albumin, bilirubin, prothrombin time and histological activity index. Albumin, prothrombin time and histological activity index were independent predictors of percentage disappearance rate in the final model (albumin p0.01, prothrombin time p0.046, histological activity index p=0.033), accounting for 46.2% of variability in percentage disappearance rate measurements.Percentage disappearance rates correlated with Child's-Pugh scores in this series of cirrhotic patients. However, 46.2% of its variability was accounted for by albumin, prothrombin time and histological activity index.
- Published
- 2006