Description

Speiser et al developed several classification and regression tree (CART) models for acetaminophen-induced acute liver failure. One is based on variables from the King's College Hospital for a patient following hospital admission. The authors are from the United States Acute Liver Failure Study Group (ALFSG).


 

Patient selection: acetaminophen-induced acute liver failure

 

Parameters from post-admission (days 3 to 7):

(1) coma grade (from I to IV)

(2) serum creatinine in mg/dL

 

Arterial blood pH and INR are variables from the King's College criteria but ares not used in this CART model.

 

Coma

Creatinine

Mortality

Grade I or II

NA

18%

Grade III or IV

< 1.65 mg/dL

35%

Grade III or IV

>= 1.65 mg/dL

77%

 

where:

• The cutoffs for each variable are different from those used for the King's College Criteria (KCC).

• The absence of coma is not included in the CART tree but added to the implementation.

 

Performance:

• The area under the ROC curve was 0.72 to 0.81.

 


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