Units: Conventional Standard

Glasgow Alcoholic Hepatitis score (GAHS)

Age ( years) <50+1
>50+2
WBC (109/L)
 <15 +1
>15 +2
Urea (mmol/L)
<5 +1
>5 +2
PT ratio or INR <1.5 +1
1.5-2.0 +2
>2 +3
Bilirubin (μmol/L)
<125 +1
125-250 +2
>250 +3
Score points

A score of 9 or more identify patients most at risk of death. A score of 9 or more can be used either on day 1 (admission day) or day 6-9.

Patients with severe alcoholic hepatitis mDF > 32 (modified discriminant function) or more specifically GAHS>9 benefit from corticosteroids, and perhaps pentoxifylline. Day 28 survival for patients with GAHS <9 is 87 % whereas if GAHS >9 survival drops to 46% in absence of treatment.

Glasgow Alcoholic Hepatitis Score

 
Day 28 survival ( % )
Day 84 survival ( % )
Day 1 score
GAHS <9
87
79
GAHS >9
46
40
Day 6-9 score
GAHS <9
93
86
GAHS >9
47
37

Disclaimer:
The calculators allow you to enter patient specific information to calculate a simple score. All information is provided for educational purposes only. This information is not intended to replace clinical judgement. All calculations must be rechecked and should not be used alone to guide patient care. The user assumes sole responsibility for any decisions or action taken based on the information contained here.