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Rotterdam Score of Darwish Murad et al for Predicting the Prognosis for a Patient with the Budd-Chiari Syndrome

Description

Darwish Murad et al developed a prognostic score for evaluating a patient with Budd-Chiari Syndrome. This can help to identify a patient who may benefit from more aggressive management. The authors are from Erasmus Medical Center Rotterdam in The Netherlands.


 

Patient selection: Budd-Chiari Syndrome

 

Parameters:

(1) encephalopathy

(2) ascites

(3) prothrombin time relative an INR of 2.3

(4) serum total bilirubin in µmol/L

Parameter

Finding

Points

encephalopathy

absent

0

 

present

1.27

ascites

absent

0

 

present

1.04

prothrombin time

<= 2.3

0

 

> 2.3

0.72

 

score =

= SUM(points for the first three parameters) + (0.004 * (total serum bilirubin))

 

Interpretation:

• minimum score: near 0

• maximum: near 4

• The higher the score the worse the prognosis.

 

Score

Group

Prognosis

5-Year Survival

<= 1.10

Class I

good

89%

1.10 to 1.5

Class II

intermediate

74%

> 1.5

Class III

poor

42%

 


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