Zeitoun et al developed a prognostic index for patients with the Budd-Chiari Syndrome. This can help identify patients who may benefit from more aggressive management. The authors are from Colombes and Clichy in France.
Parameters:
(1) ascites score
(2) Child-Pugh score (ranges from 5 to 15)
(3) age in years
(4) serum creatinine in µmol/L
Ascites
Points
absent
1
readily treated
2
intractable
3
prognostic index =
= (0.75 * (points for ascites)) + (0.28 * (Child Pugh score)) + (0.037 * (age in years)) + (0.0036 * (serum creatinine))
Interpretation:
• The higher the index the worse the prognosis.
Prognostic Index
Prognosis
<= 5.4
good
> 5.4
poor
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Purpose: To determine the prognosis for a patient with the Budd-Chiari Syndrome using the index of Zeitoun et al.
Specialty: Gastroenterology, Hematology Oncology
Objective: severity, prognosis, stage
ICD-10: I82.0,
