Published online Mar 27, 2020. doi: 10.4254/wjh.v12.i3.99
Peer-review started: September 19, 2019
First decision: October 14, 2019
Revised: January 7, 2020
Accepted: January 14, 2020
Article in press: January 14, 2020
Published online: March 27, 2020
In 1964, the CTP score was proposed to assess patients with portal hypertension related to gastrointestinal tract bleeding and was used later to assess patients with cirrhosis in general. Many doubts have been raised recently regarding the performance of the CTP score as a subjective scoring system with abrupt points and overlapping parameters. Recently, new scoring systems such as the ALBI and PALBI scores were proposed which use linear predictive equations to overcome the disadvantages of the CTP score.
To identify a reliable prognostic score to predict the short-term outcome of patients with acute variceal bleeding.
Scoring systems with more specific parameters and using linear predictive equations showed better performance than subjective point-based scoring systems.
We retrospectively analyzed the data of a large number of patients with acute variceal bleeding and their short-term outcome.
The PALBI score is a simple, objective score that is considered a good option for predicting in-hospital rebleeding and mortality in patients with acute variceal bleeding in comparison to other scoring systems. However, we still recommend performing a prospective study to better analyze the performance of these scoring systems.
The PALBI score could be used to predict the short-term outcome and the incidence of rebleeding in patients with acute variceal bleeding.
Performing a prospective large-scale multicenter study to test the performance of these scores in different management settings.