Description

D’Amico et al identified prognostic stages for a patient with cirrhosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from Ospedale V Cervello (Palermo), Universita di Milano, Universita di Palermo, Instituto Mediterraneo per I Trapianti e Terapie ad alta tecnologia and Ospedale Civico Fatebenefratelli (Palermo) in Italy.


 

Patient selection: cirrhosis

 

Decompensation indicated by:

(1) ascites

(2) bleeding

(3) jaundice

(4) encephalopathy

 

Parameters:

(1) esophageal varices

(2) bleeding

(3) other decompensating events

 

Esophageal Varices

Bleeding

Other Decompensation

Stage

absent

absent

0

1

present

absent

0

2

NA

present

0

3

NA

NA

1

4

NA

NA

>= 2

5

 

 

Stage

5-Year Mortality

1

1.5%

2

10%

3

20%

4

30%

5

88%

 


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