Assessment of the performance of haematological and non-invasive fibrotic indices for the monitoring of chronic HBV infection: a pilot study in a Ghanaian population.


Journal

BMC research notes
ISSN: 1756-0500
Titre abrégé: BMC Res Notes
Pays: England
ID NLM: 101462768

Informations de publication

Date de publication:
04 Nov 2023
Historique:
received: 16 10 2022
accepted: 18 10 2023
medline: 6 11 2023
pubmed: 5 11 2023
entrez: 5 11 2023
Statut: epublish

Résumé

Haematological and liver fibrotic markers could be appreciably utilized for effective monitoring of Chronic Hepatitis B viral (HBV) infection, thereby increasing patient's treatment outcome. The objective of this study was to assess the applicability of complete blood count (CBC) and non-invasive liver-fibrotic indices as markers of prognostic outcome and monitoring in HBV infections. Significant differences in levels of white cell and differentials counts, red blood cell count, hemoglobin indices, and platelet indices were observed between HBV-infected patients (cases) and uninfected persons (controls). Levels of haemoglobin (Hb), total white blood cells (tWBC), neutrophils, monocytes, platelets, and Platelet Distribution width (PDW) were significantly lower (p < 0.05) in the cases compared to the controls. Total and indirect bilirubin; De-Ritis ratio, Aspartate transaminase to platelet ratio index (APRI) and RDW-to-platelet ratio (RPR) were elevated in cases compared with controls (p-value < 0.05). In a multivariate adjusted model to test the significance of markers, Hemoglobin Index (beta coefficient = - 0.876, p-value < 0.001), NLR (beta coefficient = - 0.839, p-value < 0.001), MPV_10000 (beta coefficient = - 0.333, p-value < 0.001) and Albumin (beta coefficient = - 0.059, p-value = 0.014), were associated with HBV infection status. Receiver operative characteristics curve analysis showed Hemoglobin Index (AUC = 0.744) and MPV_10000 (AUC = 0.730) as better prognostic markers for HBV-infection.

Identifiants

pubmed: 37925465
doi: 10.1186/s13104-023-06581-y
pii: 10.1186/s13104-023-06581-y
pmc: PMC10625242
doi:

Substances chimiques

Hemoglobins 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

312

Informations de copyright

© 2023. The Author(s).

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Auteurs

Eric N Y Nyarko (ENY)

Department of Chemical Pathology, University of Ghana Medical School, University of Ghana, Accra, Ghana. eynyarko@ug.edu.gh.

Christian Obirikorang (C)

Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Global Health and Infectious Diseases Group, Kumasi Centre for Collaborative Research, Kumasi, Ghana.

W K B A Owiredu (WKBA)

Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Evans Asamoah Adu (EA)

Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Global Health and Infectious Diseases Group, Kumasi Centre for Collaborative Research, Kumasi, Ghana.

Emmanuel Acheampong (E)

Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.

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Classifications MeSH