Description

Chalsani et al reported a simple score for evaluating patients with cirrhosis who have a transjugular intrahepatic shunt (TIPS). This can help to identify a patient who may require more aggressive management. The authors are from Indiana University and Emory University.


Parameters:

(1) emergency TIPS placement

(2) serum ALT in IU/L

(3) serum total bilirubin in mg/dL

(4) hepatic encephalopathy prior to TIPS and unrelated to bleeding

 

Parameter

Finding

Points

emergency TIPS

no

0

 

yes

2

serum ALT

<= 100 IU/L

0

 

> 100 IU/L

1

serum total bilirubin

<= 3.0 mg/dL

0

 

> 3.0 mg/dL

1

hepatic encephalopathy

no

0

 

yes

1

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

 

Total Score

Risk

6 Month Survival

24 Month Survival

0

low

90%

68%

1 to 3

medium

63%

28%

4 or 5

high

9%

NA

 


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