Score of Malatack et al for Predicting Mortality Risk in Children with End-Stage Liver Disease

Purpose: To evaluate a child with progressive liver disease for mortality risk, to help prioritize patients for liver transplantation.

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Evaluation

Are you evaluating a child with progressive liver disease?

Yes

Serum total cholesterol

Does the child have a history of ascites?

Yes

Serum indirect bilirubin

Patient's PTT

seconds

Upper limit of reference range for PTT

seconds

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Prognostic score

Risk of death in the next 6 months

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Contraindications to Liver Transplantation
Clinical Diagnosis, Including Family History For Genetics
- Paediatric Hepatology Dependency (PHD) Score of Cowley et al
Other Testing
Criteria For Diagnosis
- Paediatric Hepatology Dependency (PHD) Score of Cowley et al
- Indications for Liver Transplantation
Severity, Prognosis, Stage

Therapy

Options
- Contraindications to Liver Transplantation
Selection

Monitoring

Response To Therapy
- Score for Liver Donor (SOLD) of Ioannou

Patient Concerns

Economics
- Contraindications to Liver Transplantation

Specialty

Gastroenterology

Objective

severity
prognosis
stage

ICD-10

K72 - Hepatic failure, not elsewhere classified
K76.7 - Hepatorenal syndrome

Info

Purpose: To evaluate a child with progressive liver disease for mortality risk, to help prioritize patients for liver transplantation.

Specialty: Gastroenterology

Objective: severity, prognosis, stage

ICD-10: K72, K76.7,

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