Congenital heart disease

Prognostic value of liver biomarker scores for risk stratification in adults with Fontan palliation

Am Heart JPublished Retrospective cohort study

Authors' conclusion

These data support the use of average liver biomarker scores for risk stratification in the setting of Fontan associated liver disease (FALD).

Study context

Population
Adults with Fontan palliation with ≥3 consecutive assessments of complete blood count and comprehensive metabolic panel
Participants
344 adults
Exposure
Average vs baseline (single) liver biomarker scores and multiparametric cirrhosis diagnosis
Outcome
Death/transplant (prognostic value of MELD-XI, FIB-4 and APRI scores)

Main finding

As reported in the abstract

Average MELD-XI score (mean ± SD)

12.5 ± 4.1

Average FIB-4 score (mean ± SD)

1.19 ± 0.81

Average APRI score (mean ± SD)

0.61 ± 0.46

Observational data: associations, not effects.

Original publication

Prognostic value of liver biomarker scores for risk stratification in adults with Fontan palliation. Am Heart J. Published 27 June 2025. doi:10.1016/j.ahj.2025.06.015

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