Table 6.2-9. Prognostic index of acute liver failure in patients with Wilson disease

Score

1

2

3

4

Serum bilirubin (micromol/L)

100-150

151-200

201-300

>300

AST (IU/L)

100-150

151-300

301-400

>400

INR

1.3-1.6

1.7-1.9

2.0-2.4

>2.4

WBC (1000 cells/microL)

6.8-8.3

8.4-10.3

10.4-15.3

>15.3

Serum albumin (g/L)

34-44

25-33

21-24

<21

A total score ≥11 indicates a high risk of death if the patient is not treated with liver transplantation. Data from children populations.

Adapted from Liver Transpl. 2005;11(4):441-8.

AST, aspartate aminotransferase; INR, international normalized ratio; WBC, white blood cell.