Algorithm of Kaufman et al for Predicting Parenteral Nutrition-Associated Liver Disease (PNALD) in a Pediatric Patient with Short Bowel Syndrome of Infancy

Purpose: To determine the risk of liver failure in an infant receiving parenteral nutrition for the short bowel syndrome of infancy.

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Evaluation

Are you evaluating an infant who is receiving parenteral nutrition for short bowel syndrome?

Yes

Age of the infant

months

Total serum bilirubin

Serum albumin

Platelet count

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Value of X

Probability of the patient developing liver failure

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Liver Disease Secondary to Parenteral Nutrition
- Risk Factors for Gallbladder Disease Secondary to Parenteral Nutrition
Other Testing
- Fat Overload Syndrome
Complications
- Lactic Acidosis Secondary to Thiamine Deficiency | Parenteral Nutrition
- Risk Factors for Liver Disease Secondary to Parenteral Nutrition

Monitoring

Disease Progression
- Lactic Acidosis Secondary to Thiamine Deficiency | Parenteral Nutrition

Specialty

Nutrition
Gastroenterology
Critical Care

Objective

severity
prognosis
stage

ICD-10

E43 - Unspecified severe protein-energy malnutrition
E44 - Protein-energy malnutrition of moderate and mild degree
K91.2 - Postsurgical malabsorption, not elsewhere classified
Z90 - Acquired absence of organs, not elsewhere classified

Info

Purpose: To determine the risk of liver failure in an infant receiving parenteral nutrition for the short bowel syndrome of infancy.

Specialty: Nutrition, Gastroenterology, Critical Care

Objective: severity, prognosis, stage

ICD-10: E43, E44, K91.2, Z90,

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