Langlet et al developed a prognostic index for patients with the Budd-Chiari Syndrome (BCS). The authors are from multiple institutions in France including Hopital Beaujon in Clichy.
Patient selection: Budd-Chiari syndrome
Outcome: overall survival
Parameters:
(1) ascites
(2) histologic type of BCS
(3) age in years
(4) serum creatinine in µmol/L
(4) Child-Pugh score (enter from 5 to 15)
Parameter
Finding
Points
ascites
absent
1
easy to treat
2
intractable
3
histologic type
acute injury (Type I)
0
chronic injury (Type II)
acute and chronic (Type III)
new Clichy prognostic index =
= (0.95 * (points for ascites)) + (0.35 * (Child Pugh score)) + (0.047 * (age)) + (0.0045 * (serum creatinine)) + (2.2 * (points for histologic type)) - 2.6
Interpretation:
• minimum score: around 1
• maximum score: around 12
• The higher the score the worse the overall survival.
Index
Risk Group
10-Year Survival
<= 5.1
low
92%
> 5.1
high
55%
To read more or access our algorithms and calculators, please log in or register.
Specialty: Gastroenterology
