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Dwi Prasetyo
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin, Bandung
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Journal : Paediatrica Indonesiana

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Relationship between aspartate aminotransferase to platelet ratio index and liver injury in pediatric sepsis Robby Godlief; Dzulfikar Djalil Lukmanul Hakim; Dwi Prasetyo
Paediatrica Indonesiana Vol 61 No 3 (2021): May 2021
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi61.3.2021.149-54

Abstract

Background Sepsis-associated liver injury (SALI) is one of the main clinical manifestations of sepsis, as well as an independent risk factor for multiple organ dysfunction syndrome and mortality in pediatric sepsis. The early warning biomarkers for identifying SALI remain poorly defined. Objective To analyze the relationship between aspartate aminotransferase to platelet ratio index (APRi) and liver injury occurrence in pediatric sepsis, as well as determine the APRi cutoff value for early identification of SALI. Methods This retrospective study used secondary data derived from January 2019 to August 2020. The study population comprised admitted children aged 1 month to <18 years who met the criteria for sepsis, and had aspartate aminotransferase (AST) and platelet laboratory parameters checked in the first 24 hours of sepsis and before administration of antibiotics. Pearson’s Chi-square test was used to analyze for correlations. Estimation of the APRi cutoff value in the early occurrence of SALI was performed with logistic regression analysis and receiver operating characteristic (ROC) curve. Results Of the 112 subjects, 94.6% were categorized as having septic shock and 48.2% had SALI. Logistic regression revealed that APRi was a significant predictor of SALI, as indicated by cut-off 4.726 [OR 1.098; 95%CI 1.002 to1.203; P=0.045]. The area under the curve (AUC) was 0.831 or 83.1%, which was classified as strong (80-90%). Conclusion The APRi is a reliable early predictor of SALI in pediatric sepsis, as indicated by an increase in APRi (> 4.726) within the first 24 hours of sepsis.
Co-Authors A Halim Aditya Marianti Adzilla, Wilma Nurrul Agus Arnold Nalle Agus Firmansyah Ahmad Muhtadi Akbar, Aswin Al-Fayez, Youssef Alhakim, Fakhri Taufik Ali Sungkar Amalia, Firdausha AngDjadi, Jessica Stephanie Antarest Erland Prasetyo Ari Prayitno, Ari Ariati, Nining Arif, Lukman Asep Aziz Asopari Ati Retna Sari Aulia Afniar Rahmawati AULIA, RIZKA AWANG DHARMAWAN, AWANG Aziz, Muhammad Alamsyah Aziz, Muhammad Hilmy Bambang Noegroho Bambang S Nugroho Baskoro, Lorenzo Heyting Baskoro Baswara Yua Kristama Benny Purwara Budi Setiabudiawan Cissy B. Kartasasmita DANANG TANDYONOMANU Danny Hilmanto, Danny Dany Hilmanto Deny Kurniadi Sunjaya Dewanto, Naomi E.F. Dewi Marhaeni Diah Herawati Dewi Nurlaela Sari, Dewi Nurlaela Dima, Alfred O M Dominicus Husada Dyah Rahmawanti Dzulfikar Djalil Lukmanul Hakim Eli Halimah, Eli Elly Yana, Elly Elsa Setiawati Elza Noviani Endang Mulyani Endang Sutedja Farid Husin Farid Husin Firmannandya, Ade FM Suhartati FM Suhartati Gatera, Vesara A. Gatot Irawan Sarosa, Gatot Irawan Gerritsen H. J Gusti, Putri Pinaring Habibilah, Burhanuddin Hanifah Oswari Hapsari, Alifia Priyayitha Hartono Gunardi Heni Masri Henni Djuhaeni Herri S. Sastramihardja Herry Garna Ibrahim Ibrahim Iceu Mulyati Ida Suryani Iesje Martiza Ike Dwi Wahyuni Ike MP Siregar, Ike MP Ilham Asrori Azka Imam Cahyadi, Imam Ina Rosalina Ina Rosalina Ira Furnia Ismoedijanto jannah, lailatul Jannati , Eidelweis Dewi Johanes C Mose Joice Jusmiaty Bana Jokhanan Kristiyono Kittie Uda, Saritha Krispinus Kedati Pukan Kuijper E. J Kusnandi Rusmil Kuswinarti Kuswinarti Labrune V. Laukamang, Vicky Olfianto N. Lawa, Yosep Leclipteux T Lelani Reniarti lilis Sumiati Lubis, Harmoko M. Rizkar Arev Sukarsa Maddepunggeng, Martira Maya Tejasari Mei Neni Sitaresmi Meita Dhamayanti Mertens P. Mola, Sebastianus A. S. Nahas, Agustina Ethin Nana Usnawati Nani Dharmasetiawani Nastiti Kaswandani Nelly Amalia Risan Nenotek, Petronella Syahyanti Ningrum, Mega Ratna Novda, Septa Nurfadilla, Destiani Irma Nurfauzi, Ivant Aditya Nurhalim Shahib Nurhidayat, Muhammad Zaky Nurul Husna Nurwahid, Aditya Fahmi Nurwiana, Ida PONPON IDJRADINATA Prasetyo, Antarest Erland Puspita Sari, Maria Putranto, Teguh Dwi Qolbidiasih, Miftahul Nurul Rahayu, Listyowati Puji Raihan Raihan, Raihan Ratna Herawati Refli, Refli Reza Latumahina Rhomadhani, Noviana Ardi Riri Adriana Robby Godlief Romadhon, Mohammad Syaifullah Anam Rulina Suradi, Rulina Rustamaji, R.M. Sabrina Aulia Rahmah Safitri Safitri Safitri, Unna Ria Salleh, Muhammad Amiruddin Saptawati Bardosono Saputri, Dwi Anggraeni Sasotya, R.M. Sonny Setyo Handryastuti Siahaan, Goklas Sina, Derwin R. Siti Alimah Siti Aminah Abdurachman Siti B. Kresno Soedjatmiko Soedjatmiko Sri Endah Rahayuningsih Sri Ngabekti Sri Rezeki S. Hadinegoro, Sri Rezeki S. Suarna, Nana Sudigdo Sastroasmoro Sulis Mariyanti Sulistiyasni . Sulistyani, Atikah Sunaryono Sunaryono, Sunaryono Susiarno, Hadi Sutha, Diah Wijayanti Syafa’at, Imam Tati Suprapti Tina Ramayanthi Tsuroyya, Tsuroyya Tungga Dewi, Imelda Zahra Uda, Saritha Kittie Uda, Subrata Aditama Kittie Aidon Uly J. Riwu Kaho Utari, Riyadini van Leeuwen, Thomas Vita Murniati Tarawan Vita Murniati Tarawan Vivi Bachtiar Wahyuni, Besse Wardhana Suryapratama Wijaya, Arya Tri Wijaya, Hananda Surya Yani Dewi Suryani Yati Soenarto Yoni F Syukriani Yudith Setiati Ermaya Yudith Setiati Ermaya Yudith Setiati Ermaya Yuli Priyana Yuliarman Saragih Zahrotul Afifah, Nafila Zakiudin Munasir Zulvayanti Zulvayanti