Medicine:Lille Model
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Short description: Scoring system for assessing the response of alcohol hepatitis to corticosteroid treatment.
| Lille Model | |
|---|---|
| Medical diagnostics | |
| Purpose | Assess the response of alcohol hepatitis to corticosteroid treatment |
| Based on | Age, albumin, Bilirubin (initial), Bilirubin (day 7), Creatinine, Prothrombin time |
The Lille Model is a medical modeling tool for predicting mortality in patients with alcoholic hepatitis who are not responding to steroid therapy. The model risk stratifies patients who have been receiving steroid treatment for seven days to predict who will improve and who should be considered for alternative treatment options including early referral for transplant.[citation needed]
The model is based on:
- Age
- Albumin
- Bilirubin (initial)
- Bilirubin (day 7)
- Creatinine
- PT
Initial model was based on a study of 238 patients and published in the Journal of Hepatology in 2003.[1] Recent cohort studies demonstrate that those with a Lille score above 0.45 are likely non-responders to steroid therapy.[2]
See also
References
- ↑ Mathurin, P; Abdelnour, M; Ramond, MJ; Carbonell, N; Fartoux, L; Serfaty, L; Valla, D; Poupon, R et al. (December 2003). "Early change in bilirubin levels is an important prognostic factor in severe alcoholic hepatitis treated with prednisolone.". Hepatology 38 (6): 1363–9. doi:10.1016/j.hep.2003.09.038. PMID 14647046.
- ↑ Louvet, A; Naveau, S; Abdelnour, M; Ramond, MJ; Diaz, E; Fartoux, L; Dharancy, S; Texier, F et al. (June 2007). "The Lille model: a new tool for therapeutic strategy in patients with severe alcoholic hepatitis treated with steroids.". Hepatology 45 (6): 1348–54. doi:10.1002/hep.21607. PMID 17518367.
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