Description

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)

0

 

acute and chronic (Type III)

1

 

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%

 


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