Cirrhotic patients admitted to intensive care have high mortality rates. The prognosis of critically ill cirrhotic patients is determined by the extent of hepatic and extrahepatic organ dysfunction.
Dr Ming-Hung Tsai and colleagues in Taiwan compared compared the accuracy of Child-Pugh classification and organ system failure (OSF) scores in predicting the hospital mortality in critically ill cirrhotic patients.
Dr Tsai’s team reviewed 111 patients diagnosed with liver cirrhosis who were admitted the intensive care unit of their hospital from July 2001 to June 2002.
The team retrospectively calculated Child-Pugh and OSF scores as they would have been on the 1st day of admission to intensive care.
| The prognosis for cirrhotic patients admitted to intensive care is grave |
|Jounal of Clinical gastroenterology|
The overall hospital mortality rate in the critically ill cirrhotic patients was 64.9%. Hepatitis B viral infection was the most common cause of liver disease.
Organ systems failure scores were shown to have a greater prognostic accuracy than the Child-Pugh classification.
Dr Tsai concludes. “The OSF score is a simple, reproducible, and easily applied tool with excellent prognostic abilities”
“It can provide objective information for patients' families and physicians and supplement the clinical judgment of prognosis.”