Predictive value of the aspartate aminotransferase to platelet ratio index for parenteral nutrition associated cholestasis in extremely low birth weight infants

Abstract

Abstract Background Parenteral nutrition (PN) improves the survival of premature infants. However, prolonged PN increases the risk of PN-associated cholestasis (PNAC). Objective We aimed to evaluate the predictive value of aspartate aminotransferase (AST)-to-platelet ratio index (APRI) for PNAC in infants with extremely low birth weight (ELBW, birth weight 2 mg/dL after other causes of neonatal cholestasis were excluded. Results Among the 179 eligible ELBW infants, 56 (31.3%) were diagnosed with PNAC. APRI significantly differed between infants with PNAC and those without PNAC. The best APRI cut-off point was 0.410 at 2 weeks after the start of PN (area under the receiver operating characteristic curve = 0.752, p < 0.05; positive predictive value, 50.6%; negative predictive value, 84.1%). Conclusion APRI at 2 weeks after PN could be a reliable predictor of PNAC development in ELBW infants on PN.

Keywords

• Aspartate aminotransferase to platelet ratio index
• Parenteral nutrition
• Parenteral nutrition-associated cholestasis
• Extremely low birth weight infants