Chen et al reported the Child-Na Score for predicting survival for a patient with cirrhosis who has had a TIPS procedure. The authors are from Fourth Military Medical University in Xi'an, China.
Patient selection: cirrhosis with symptomatic portal hypertension and variceal bleeding treated with TIPS
Parameters:
(1) Child-Pugh-Turcotte score, from 5 to 15
(2) points for serum sodium in mmol/L
Serum Sodium
Classification
Points
> 135 mmol/L
normonatremia
1
130 to 135 mmol/L
mild hyponatremia
2
< 130 mmol/L
severe hyponatremia
3
where:
• Hypernatremia is not considered.
Child-Na score =
= (Child-Pugh score) + (3 * (points for sodium classification))
Interpretation:
• minimum score: 8
• maximum score: 24
Score
1-Year Survival
<= 15
81%
>= 16
46%
Performance:
• The area under the ROC curve is 0.78.
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