Longheval et al studied several models for predicting survival in patients with nonbiliary cirrhosis. These can help to identify patients who may require more aggressive management. The authors are from Erasme Hospital in Brussels.
Patient selection: nonbiliary cirrhosis
Parameters:
(1) serum albumin in g/dL
(2) INR
(3) serum creatinine in mg/dL
prognostic index =
= (1.207 * LN((serum creatinine))) + (1.909 * LN(INR)) - (1.039 * (serum albumin))
Prognostic Index
1 Year Survival
5 year Survival
< -3.5
88%
78% (good)
-3.5 to -2.5
63%
50% (fair)
> -2.5
26%
7% (poor)
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Purpose: To determine the prognosis of a patient with nonbiliary cirrhosis using the prognostic index (PI) of Longheval et al.
Specialty: Gastroenterology
Objective: severity, prognosis, stage
ICD-10: K74.1, K74.2, K74.6,