Score of De Gottardi et al for Predicting Alcohol Relapse Following a Liver Transplant

Description

De Gottardi et al developed a simple score for predicting alcohol relapse following a liver transplant. These can help identify patients who may benefit from more aggressive attempts at maintaining abstinence. The authors are from University Hospital Geneva and Edouard Herriot Hospital in Lyon, France.

Patient selection: liver transplant for alcoholic cirrhosis

Parameters:

(1) High-Risk Alcholism Relapse (HRAR) scale (see above)

(2) psychiatric comorbidities

(3) duration of abstinence prior to the transplant

Parameter	Finding	Points
HRAR scale	0 to 3	0
	4 to 6	1
psychiatric comorbidities	none	0
	present	1
duration of abstinence	>= 6 months	0
	< 6 months	1

total score =

= SUM(points for all 3 parameters)

Interpretation:

• minimum score: 0

• maximum score: 3

• The higher the score the greater the likelihood of relapse.

Total Score	Percent Relapsing
0	5%
1	18%
2	64%
3	100%

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

ICD-10