Furschuss et al reported a modified TIPS score for a patient with cirrhosis. This is predictive of post-TIPS mortality. The authors are from the Medical University of Graz, University of Innsbruck and Centre for Biomarker Research in Medicine Graz.
Patient selection: cirrhosis with transjugular intrahepatic portosystemic shunt
Parameters:
(1) blood urea in mg/dL
(20 INR
(3) serum total bilirubin in mg/dL
Parameter
Finding
Points
blood urea (? BUN)
<= 71 mg/dL
0
> 71 mg/dL
1
INR
<= 1.6
0
> 1.6
1
serum total bilirubin
<= 2.2 mg/dL
0
> 2.2 mg/dL
1
where:
• The usual units for blood urea is mmol/L. The usual conventional units are for BUN.
• The molecular weight of urea is 60.06 g. 1 mmol/L is 6 mg/dL.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
Score
90-Day Mortality
0
4%
1
13%
2
50%
3
75%
Performance:
• The area under the ROC curve is 0.85.
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