Description

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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