Paediatric Hepatology Dependency (PHD) Score of Cowley et al

serum albumin

> 35 g/L

0

30 to 34 g/L

1

25 to 29 g/L

2

20 to 24 g/L

3

< 20 g/L

4

AST in IU/L

0 to 50 IU/L

0

51 to 150 IU/L

1

151 to 300 IU/L

2

301 to 500 IU/L

3

> 500 IU/L

4

total bilirubin

0 to 20 µmol/L

0

21 to 70 µmol/L

1

71 to 150 µmol/L

2

151 to 300 µmol/L

3

> 300 µmol/L

4

INR

1

0

1.1 to 1.4

1

1.5 to 1.9

2

2.0 to 2.3

3

>= 2.4

4

ascites

none

0

none while on treatment

1

mild

2

gross

3

gross requiring drainage

4

nutritional support

none

0

enteral feeding (NG tube)

1

modular feed

2

IV fluids

3

TPN

4

number of organ failures

0

0

1

1

2

2

3

3

4

4

blood product support

0 products transfused

0

1 product transfused

1

2 products transfused

2

3 products transfused

3

4 or more products transfused

4

sepsis

none

0

febrile

1

IV antibiotics administered

2

infection confirmed (positive microbiology test)

3

DIC, septic shock, acidosis

4

intravenous access

none

0

peripheral vein

1

IV glucose required

2

central access

3

invasive monitoring

4