Hepatorenal syndrome screening
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are predictors for patients suffering from liver disease to view chances of development of hepatorenal syndrome (HRS).
Screening
There are predictors for patients suffering from liver disease to view chances of development of hepatorenal syndrome (HRS).[1][2]
Following are variables that should taken in consideration to predict HRS:[3][4]
- Hepatomegaly
- Esophageal varices
- History of ascites
- Nutritional status
- GFR
- Blood urea nitrogen
- Serum sodium and potassium
- Plasma renin activity
- Plasma noradrenaline
- Serum and urinary osmolality
- Urinary sodium excretion
- Free water clearance after a water load
- Mean arterial pressure
References
- ↑ Sersté T, Lebrec D, Valla D, Moreau R (2008). “Incidence and characteristics of type 2 hepatorenal syndrome in patients with cirrhosis and refractory ascites”. Acta Gastroenterol Belg. 71 (1): 9–14. PMID 18396743.
- ↑ Mathurin S, Jaimet C, Turletti C, Arosio A, González G, Kuzmicz G (2008). “[Renal failure in patients with cirrhosis and ascites: incidence, etiology and predictive factors]”. Acta Gastroenterol Latinoam. 38 (2): 116–25. PMID 18697406.
- ↑ Ginès A, Escorsell A, Ginès P, Saló J, Jiménez W, Inglada L; et al. (1993). “Incidence, predictive factors, and prognosis of the hepatorenal syndrome in cirrhosis with ascites”. Gastroenterology. 105 (1): 229–36. PMID 8514039.
- ↑ Moreau R (1994). “[Hepatorenal syndrome: incidence, predictive factors and prognosis]”. Gastroenterol Clin Biol. 18 (5): 541–3. PMID 7813880.
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