Alcoholic Liver Disease | Combined Clinical & Laboratory Index (CCLI)

hepatomegaly

present

1

absent

0

splenomegaly

present

1

absent

0

ascites

0

0

1+

1

2+

2

3+

3

encephalopathy

absent

0

Grade I

1

Grade II

2

Grade III

3

bleeding tendency (clinical)

present

1

absent

0

spider nevi

present

1

absent

0

palmar erythema

present

1

absent

0

collateral circulation

present

1

absent

0

peripheral edema

present

1

absent

0

anorexia

present

1

absent

0

weakness

present

1

absent

0

ascites

abdominal distension, shifting dullness, flank dullness, and/or bulging, fluid wave and/or puddle sign

+1

obvious distention of abdomen

+2

very tense ascites with intra-abdominal organs not palpable

+3

encephalopathy according to Adams and Foley (1949)

clouded consciousness and impaired orientation with mild restlessness or agitation

I

drowsiness to stupor

II

deep coma

III

serum SGOT (AST)

> 20 U

1

<= 20 U

0

serum GGT

<= 100 U

0

101-200 U

1

> 200 U

2

serum alkaline phosphatase

<= 80 U

0

> 80 U

1

serum albumin

>= 2.59 g/dL

0

< 2.59 g/dL

1

(patient prothrombin time) - (prothrombin time control)

<= 0

0

0.1 - 3.0 seconds

1

3.1 - 5.0 seconds

2

> 5.0 seconds

3

serum bilirubin

< 1.2 mg/dL

0

1.2 - 2.0 mg/dL

1

2.1 - 5.0 mg/dL

2

> 5.0 mg/dL

3