Chronic Hepatic Failure Prognosis - Medical Algorithm

Age of patient

years

Does the patient have chronic liver failure?

Yes

Is the patient having nonhepatic surgery requiring general anesthesia?

Yes

Is surgery to be done as an emergency procedure?

Yes

Does the patient have hepatic encephalopathy?

Yes

Is the patient in congestive heart failure?

Yes

Does the patient have a significant infection (pneumonia, sepsis, peritonitis, etc.)?

Yes

Prothrombin time expressed as the international normalized ratio (INR)

Serum albumin

Serum bilirubin

Serum creatinine

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Major predictors of poor outcome present

Additional predictors of poor outcome present

Risk of mortality within 30 days of nonhepatic surgery

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Severity, Prognosis, Stage
Complications
- Score of Yamanaka et al for Severity of Postoperative Hepatic Dysfunction Following Partial Hepatectomy
- Risk Factors of Ziser et al Associated with Perioperative Morbidity and Long Term Mortality in a Patient with Cirrhosis Undergoing Surgery

Therapy

Surgery
- Risk Factors of Ziser et al Associated with Perioperative Morbidity and Long Term Mortality in a Patient with Cirrhosis Undergoing Surgery

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Predicting Postoperative Mortality in Patients with Chronic Liver Failure Undergoing Nonhepatic Surgery

Purpose: To estimate the risk of mortality within 30 days of nonhepatic surgery in patients with chronic liver failure.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10