Risk Factors of Balekian and Gould for In-Hospital Mortality for a Critically-Ill Patient with End-Stage Liver Disease (ES

Description

Balekian and Gould identified critically-ill patients with end-stage liver disease (ESLD) who were likely to die in the hospital. These patients may benefit from more aggressive management or novel therapy. The authors are from the University of Southern California in Los Angeles and Kaiser Permanente Southern California.

Patient selection: critically-ill patient with end-stage liver disease

Parameters:

(1) gender

(2) MELD score

(3) mechanical ventilation

Gender	Mech Vent	MELD	Probability Death (Figure 3 page e5)
male	no	< 10	0
		10 to 30	(0.45 * (MELD)) - 5
		30 to 60	(-0.0225 * ((MELD)^2)) + (4.855* (MELD)) - 117.4
female	no	0 to 60	(0.02226 * ((MELD)^2)) + (0.0536 * (MELD)) - 0.119
male	yes	0 to 30	(0.05071 * ((MELD)^2)) - (0.1586 * (MELD)) + 0.943
		30 to 60	(-0.065 * ((MELD)^2)) + (7.65 * (MELD)) - 127
female	yes	0 to 30	(0.02071 * ((MELD)^2)) + (0.9214* (MELD)) + 6.143
		30 to 60	(-0.0325 * ((MELD)^2)) + (4.295 * (MELD)) - 44.65

where:

• The MELD score and mechanical ventilation would reflect 2 organ failures.

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Description

Specialty

ICD-10