_id
683a1634c782e11e38d1b279
id
10136
complaint
[ "Intoxication/Overdose", "Abdominal Pain" ]
departments
[ "Hepatic" ]
description
The ABIC Score for Alcoholic Hepatitis predicts survival in alcoholic hepatitis.
diseases
[ "Alcoholism", "Drug/Alcohol Use", "Hepatitis" ]
evidence
formula
ABIC Score = (Age, years × 0.1) + (SerumBilirubin, mg/dL × 0.08) + (INR × 0.8) + (SerumCreatinine, mg/dL × 0.3)
full_title
ABIC Score for Alcoholic Hepatitis
information
Interpretation:
|
ABIC Score |
Risk group |
Survival at 90 days |
Survival at 1 year |
|
<6.71 |
Low |
100% |
97.1% |
|
6.71 to <9.00 |
Intermediate |
70% |
64.3% |
|
≥9.00 |
High |
25% |
33.3% |
input_schema
{ "conditionality": "", "label_en": "Age", "name": "age", "optional": false, "type": "textbox", "unit": "age" }
{ "conditionality": "", "label_en": "Serum bilirubin", "name": "bili", "optional": false, "type": "textbox", "unit": "bili" }
{ "conditionality": "", "label_en": "<abbr title = \"International normalized ratio\">INR</abbr>", "name": "inr", "optional": false, "type": "textbox", "unit": "inr" }
{ "conditionality": "", "label_en": "Serum creatinine", "name": "cr", "optional": false, "type": "textbox", "unit": "cr" }
[ { "conditionality": "", "label_en": "Age", "name": "age", "optional": false, "type": "textbox", "unit": "age" }, { "conditionality": "", "label_en": "Serum bilirubin", "name": "bili", "optional": false, "type": "textbox", "unit": "bili" }, { "conditionality": "", "label_en": "<abbr title = \"International normalized ratio\">INR</abbr>", "name": "inr", "optional": false, "type": "textbox", "unit": "inr" }, { "conditionality": "", "label_en": "Serum creatinine", "name": "cr", "optional": false, "type": "textbox", "unit": "cr" } ]
instructions
ismed
false
keywords
Alcohol hepatitis, Alcoholic hepatitis score, Glasgow, Lillie model
measurements
[ { "name": "Age", "unit": "age", "error_min": "0.001", "error_max": "120", "warn_min": "0.1", "warn_max": "100", "conversion": "1", "normal_max_si": "0", "normal_max_us": "0", "normal_min_si": "0", "normal_min_us": "0", "units_si": "years", "units_us": "years" }, { "name": "Creatinine", "unit": "cr", "error_min": "0.01", "error_max": "40", "warn_min": "0", "warn_max": "10", "conversion": "88.4", "normal_max_si": "115", "normal_max_us": "1.3", "normal_min_si": "62", "normal_min_us": "0.7", "units_si": "µmol/L", "units_us": "mg/dL" }, { "name": "Bilirubin", "unit": "bili", "error_min": "1E-8", "error_max": "50", "warn_min": "0", "warn_max": "20", "conversion": "17.104", "normal_max_si": "32.49", "normal_max_us": "1.9", "normal_min_si": "5.13", "normal_min_us": "0.3", "units_si": "µmol/L", "units_us": "mg/dL" }, { "name": "INR", "unit": "inr", "error_min": "0.1", "error_max": "20", "warn_min": "0.5", "warn_max": "10", "conversion": "1", "normal_max_si": "1.2", "normal_max_us": "1.2", "normal_min_si": "0.8", "normal_min_us": "0.8", "units_si": " ", "units_us": " " } ]
med_description
Predicts survival in alcoholic hepatitis.
next_actions
next_advice
We are not aware of any guidelines that recommend steroid administration based on ABIC Score, but could be reasonable to consider in the decision given its mortality prediction by severity.
next_management
pearls
published
purpose
[ "Prognosis" ]
reasons
Performs similarly toMaddrey's Discriminant Functionat predicting mortality, and better than theMELD ScoreandLille Model, in one retrospective study (Garcia-Saenz-de-Sicilia 2017).
refrences
{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/18721242", "text": "Dominguez M, Rincón D, Abraldes JG, et al. A new scoring system for prognostic stratification of patients with alcoholic hepatitis. Am J Gastroenterol. 2008;103(11):2747-56." } ], "Other References": [ { "href": "", "text": "" } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "https://onlinelibrary.wiley.com/doi/full/10.1111/apt.12654", "text": "Papastergiou V, Tsochatzis EA, Pieri G, et al. Nine scoring models for short-term mortality in alcoholic hepatitis: cross-validation in a biopsy-proven cohort. Aliment Pharmacol Ther. 2014;39(7):721-32." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/27922027", "text": "Garcia-saenz-de-sicilia M, Duvoor C, Altamirano J, et al. A Day-4 Lille Model Predicts Response to Corticosteroids and Mortality in Severe Alcoholic Hepatitis. Am J Gastroenterol. 2017;112(2):306-315." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/23879668", "text": "Lafferty H, Stanley AJ, Forrest EH. The management of alcoholic hepatitis: a prospective comparison of scoring systems. Aliment Pharmacol Ther. 2013;38(6):603-10." } ] }
related
[ { "calcId": 2024, "short_title_en": "Lille Model", "slug": "lille-model-alcoholic-hepatitis" }, { "calcId": 78, "short_title_en": "MELD Na (UNOS/OPTN)", "slug": "meld-score-model-end-stage-liver-disease-12-older" }, { "calcId": 56, "short_title_en": "Maddrey's Discriminant Function", "slug": "maddreys-discriminant-function-alcoholic-hepatitis" } ]
search_terms
[ "Alcohol hepatitis", "Alcoholic hepatitis score" ]
section
[ "whenToUseViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]
seo
{ "keywords_en": "Alcohol hepatitis, Alcoholic hepatitis score, Glasgow, Lillie model", "meta_description_en": "The ABIC Score for Alcoholic Hepatitis predicts survival in alcoholic hepatitis." }
short_description
short_title
ABIC Score for Alcoholic Hepatitis
slug
abic-score-alcoholic-hepatitis
specialty
[ "Hepatology", "Toxicology", "Gastroenterology" ]
tags
[]
title
ABIC Score for Alcoholic Hepatitis
usecase
Patients with alcoholic hepatitis.
version_number
versions
[]
cleaned_departments
[ "gastroenterology" ]
cleaned_use
[ "Patients with alcoholic hepatitis." ]
pub
false