Adapted from: Sloss A, Kubler P. Prescribing in liver disease. Aust Prescr 2009; 32:32–5.
Parameter
|
Assign 1 points
|
Assign 2 points
|
Assign 3 points
|
---|
Ascites
|
Absent
|
Slight
|
Moderate
|
Bilirubin (micromol/L)
|
< 11
|
11–45
|
> 45
|
Albumin (g/L)
|
> 35
|
28–35
|
< 28
|
Prothrombin time (seconds over control),
or
INR
|
< 4
< 1.7
|
4–6
1.7–2.3
|
> 6
> 2.3
|
Encephalopathy
|
None
|
Grade 1–2
|
Grade 3–4
|
Total score of 10–15 = Grade C (decompensated liver disease)
For more information about prescribing for people with liver disease, refer to the
Australian Prescriber
article at www.australianprescriber.com/magazine/32/2/32/5.