Predictive value of serum biochemical indicators combined with imaging scores for prognosis of traumatic liver rupture

doi:10.4240/wjgs.v18.i3.113773

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Mar 27, 2026; 18(3): 113773
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.113773

Table 7 Comparison of predictive performance of various indicators and combined models

Predictive indicator/model	AUC	95%CI	Sensitivity (%)	Specificity (%)	Youden index
Single indicators
AST	0.798	0.728-0.868	75.0	78.2	0.532
INR	0.823	0.758-0.888	79.5	80.3	0.598
CRP	0.836	0.774-0.898	81.8	78.9	0.607
GCS score	0.742	0.665-0.819	72.7	71.8	0.445
LTSS total score	0.845	0.786-0.904	84.1	76.8	0.609
Combined models
Serum biochemical combined	0.887	0.836-0.938	84.1	85.2	0.693
Serum biochemical + imaging combined	0.923	0.881-0.965	86.4	91.5	0.779

AUC: Area under the curve; CI: Confidence interval; AST: Aspartate aminotransferase; INR: International normalized ratio; CRP: C-reactive protein; GCS: Glasgow Coma Scale; LTSS: Long-term services and supports.

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Citation: Yin H, Liu Y, Chen JT, Li Z, Pan Y, Zhu F. Predictive value of serum biochemical indicators combined with imaging scores for prognosis of traumatic liver rupture. World J Gastrointest Surg 2026; 18(3): 113773
URL: https://www.wjgnet.com/1948-9366/full/v18/i3/113773.htm
DOI: https://dx.doi.org/10.4240/wjgs.v18.i3.113773

Yin H, Liu Y, Chen JT, Li Z, Pan Y, Zhu F. Predictive value of serum biochemical indicators combined with imaging scores for prognosis of traumatic liver rupture. World J Gastrointest Surg 2026; 18(3): 113773 [DOI: 10.4240/wjgs.v18.i3.113773]

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