Scores | Population | Variable | Formula | Application |
---|---|---|---|---|
Prognostic scores | ||||
CLIF-C ACLFs | Acutely decompensated cirrhosis | CLIF‐OFs (TB, creatinine, use of RRT, HE, endotracheal intubation for HE, INR, MAP, Use of vasopressors, PaO2, SpO2, FiO2), age, WBC | 10 × [0.33 × CLIF-OFs) + 0.04 × age + 0.63 × ln (WBC, 109/L) − 2] | Individual estimates of mortality |
COSSH-ACLFs | Acute deterioration of HBV-related chronic liver disease | HBV-SOFAs (creatinine, HE, MAP, Use of vasopressors, PaO2, SpO2, FiO2), INR, age, TB | 0.741 × INR + 0.523 × HBV-SOFAs + 0.026 × age + 0.003 × TB (μmol/L) | / |
COSSH-ACLF IIs | Acute deterioration of HBV-related chronic liver disease | INR, HE, neutrophil, TB, serum urea, age | 1.649 × ln(INR) + 0.457 × HE score (0/I-II/III-IV: 1/2/3 points) + 0.425 × ln(neutrophil, 109/L) + 0.396 × ln(TB, umol/L) + 0.576 × ln(serum urea, mmol/L) + 0.033 × age | Individual estimates of mortality; Risk stratification: 28-/90-day Mortality: Low-risk (< 7.4): 8%/19%; Intermediate-risk (7.4–8.4): 50%/66%; High-risk (≥ 8.4): 76%/88% |
AARC-ACLFs | Acute deterioration of chronic liver disease | TB, creatinine, serum lactate, INR, HE | TB (< 15/15–25/ > 25 mg/dl; 1/2/3 points) + HE (0/I-II/III-IV; 1/2/3 points) + INR (< 1.8/1.8–2.5/ > 2.5; 1/2/3 points) + Lactate (< 1.5/1.5–2.5/ > 2.5 mmol/L;1/2/3 points) + creatinine (< 0.7/0.7–1.5/ > 1.5 mg/dl; 1/2/3 points) | Risk stratification: 28-day Mortality: Grade-I (5–7): 13%; Grade-II (8–10): 45%; Grade-III (11–15): 86% |
Predictive scores | ||||
CLIF-C ACLF-Ds | Acutely decompensated cirrhosis without ACLF | Age, ascites, WBC, albumin, TB, creatinine | 0.03 × Age + 0.45 × Ascites + 0.26 × ln(WBC)–(0.37 × Albumin) + 0.57 × ln(TB) + 1.72 × ln(Creatinine) + 3 × 10 | Predicting the onset of ACLF, but showed a similar accuracy to other scores |
COSSH-onset- ACLFs | Acute deterioration of HBV-related chronic liver disease without ACLF | ALT, TB, INR, serum ferritin | 0.101 × ln(ALT) + 0.819 × ln(TB) + 2.820 × ln(INR) + 0.016 × ln(ferritin) | Predicting the onset of HBV-ACLF at 7/14/28 days after admission; Risk stratification for progression to ACLF at 7/14/28 days: Low-risk (< 6.3): 2.5%/3.2%/3.7%; High-risk (≥ 6.3): 42.6%/49.2%/50% |