Prognostic models in alcohol-related liver disease and alcohol-related hepatitis

被引:0
|
作者
Musto, Jessica Ann [1 ,2 ]
Lucey, Michael Ronan [1 ]
机构
[1] Univ Wisconsin, Dept Gastroenterol & Hepatol, Sch Med & Publ Hlth, Madison, WI USA
[2] UWMF, Div Gastroenterol & Hepatol, Centennial Bldg,1685 Highland Ave,Suite 4000, Madison, WI 53705 USA
关键词
Prognosis; Alcohol-related liver disease; Alcohol-related hepatitis; Scoring; LILLE MODEL; TRANSPLANTATION; CORTICOSTEROIDS; MORTALITY; SURVIVAL; TOOL;
D O I
10.1016/j.bpg.2023.101867
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Alcohol-associated liver disease (ALD) and alcohol-associated hepatitis (AH) are dynamic disorders whose prognosis can be challenging to determine. A number of prognostic models have been developed to determine likelihood of death, when to refer for liver transplant (LT) and the role for glucocorticoids. Often these models were created with a specific application in mind but were found to have additional applications with further study. Those prognostic models that have stood the test of time are easy to use, have clear interpretations and employ objective parameters. These parameters most often include total bilirubin, INR and creatinine among other data points. Ideally, these models could be utilized at all phases of disease but in most, it is important for clinicians to consider drinking history and how it might alter the determined scores. Herein we provide a brief review of prognostic models in ALD and AH and provide practical tips and considerations to successfully make use of these tools in a clinical setting.
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页数:4
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