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What does the APRI score mean for your health?

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APRI is short for aspartate aminotransferase to platelet ratio index. It’s a way for doctors to measure how healthy your liver is when you have a liver disease. Specifically, it measures the amount of fibrosis, or scarring, in your liver.

There are two numbers to keep in mind to understand your APRI score: 0.5 and 1.5. If your score is less than or equal to 0.5, your liver is either completely free of fibrosis or has a tiny bit of scarring. If you have an APRI score of 1.5 or greater, your liver has scarring and likely some cirrhosis.

The APRI score is a less expensive, less invasive way to check for scarring than a liver biopsy. That’s when doctors remove a piece of your liver to check it for damage. If you’re living with a health problem that can damage your liver, ask your doctor about your APRI score. It can help you monitor the health of one of your most vital organs.

SOURCES:

Mayo Clinic: “Hepatitis C,” “Liver function tests,” “Cirrhosis,” “Liver transplantation for chronic hepatitis C: How common is it?”

Open Forum Infectious Diseases : “APRI Score as a Predictor of Significant Liver Fibrosis in Chronic Hepatitis B.”

Annals of Gastroenterology : “Liver fibrosis staging with combination of APRI and FIB-4 scoring systems in chronic hepatitis C as an alternative to transient elastography.”

National Library of Medicine: “Aspartate Transaminase to Platelet Ratio Index in Hepatitis C Virus and Schistosomiasis Coinfection,” “AST Test.”

American Red Cross: “Platelets and Thrombocytopenia.”

University of Washington (Hepatitis C): “AST to Platelet Ratio Index (APRI) Calculator.”

Medscape: “Role of AST to Platelet Ratio Index in the Detection of Liver Fibrosis in Patients with Recurrent Hepatitis C After Liver Transplantation.”

University of Michigan (Health Lab): “Alternatives to Liver Biopsy: When are other tests appropriate?”

University of California, San Francisco: “Platelet Count.”

Reviewed by Brunilda Nazario on June 26, 2020

SOURCES:

Mayo Clinic: “Hepatitis C,” “Liver function tests,” “Cirrhosis,” “Liver transplantation for chronic hepatitis C: How common is it?”

Open Forum Infectious Diseases : “APRI Score as a Predictor of Significant Liver Fibrosis in Chronic Hepatitis B.”

Annals of Gastroenterology : “Liver fibrosis staging with combination of APRI and FIB-4 scoring systems in chronic hepatitis C as an alternative to transient elastography.”

National Library of Medicine: “Aspartate Transaminase to Platelet Ratio Index in Hepatitis C Virus and Schistosomiasis Coinfection,” “AST Test.”

American Red Cross: “Platelets and Thrombocytopenia.”

University of Washington (Hepatitis C): “AST to Platelet Ratio Index (APRI) Calculator.”

Medscape: “Role of AST to Platelet Ratio Index in the Detection of Liver Fibrosis in Patients with Recurrent Hepatitis C After Liver Transplantation.”

University of Michigan (Health Lab): “Alternatives to Liver Biopsy: When are other tests appropriate?”

University of California, San Francisco: “Platelet Count.”

Reviewed by Brunilda Nazario on June 26, 2020

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