CLDF ACLF-MELD calculator vs HepCalc Usage & Stats

The ACLF Calculated score is a scientifically validated and useful tool in managing patients with acute on chronic liver failure (ACLF). The following is one of many peer reviewed scientific papers discussing the validity and utility of the ACLF calculation: Jalan, R. et al. Development and validation of a prognostic score to predict mortality in patients with acute-on-chronic liver failure. J. Hepatol. 61, 1038–1047 (2014). In addition, there are a large number of medical calculators for determining ACLF online, many of which are endorsed by major medical bodies. Here is one example: https://www.efclif.com/scientific-activity/score-calculators/clif-c-aclf The MELD Calculated score is a validated and often used medical calculation for managing patients with end stage liver disease. The following is one of many peer reviewed scientific papers demonstrating the utility and medical validation of the MELD calculation: Kamath, P. S. & Kim, W. R. The model for end-stage liver disease (MELD). Hepatology (Baltimore, MD) 45, 797–805 (2007). In addition, there are many online calculators for MELD in use, major institutions like the Mayo Clinic and other well-known and respected medical organizations provide the MELD calculators for their clinicians to utilize, like the example below: https://optn.transplant.hrsa.gov/data/allocation-calculators/meld-calculator/ The combined ACLF/MELD calculator is a way for providers to simply put in the values for both calculators at once to get the results of both on one screen thereby simplifying the input and work for the provider. Dr. David Bernstein, a member of the Chronic Liver Disease Foundation (chronicliverdisease.org), a medical nonprofit made up leading liver specialists in the United States, has reviewed this calculator for it’s accuracy and utility and recommends its use in helping to manage patients with these illnesses.

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HepCalc

HepCalc is a collection of liver related calculators, web links, resources, and editable web links and clinical notes. ◆ Unlike most calculators, entry data is preserved between different calculators limiting the need for reentry of data. ◆ Set your own favorite web links ◆ Save clinical notes, clinical "pearls" in a organized fashion ◆ Integrated U.S. - SI units conversion ◆ Each calculator has a related web reference A must have for the clinician/house officer dealing with liver disease. The customizable WebLinks and Clinical Notes sections alone are valuable tools for anyone. Child-Pugh Score MELD (UNOS) -survival data -TIPS recommendations MELD MELD Sodium (UNOS) MELD 3.0/Survival Alcoholic Hepatitis Calculators: - ABIC -Combined: Lille Model +(MELD, Maddrey DF, ABIC) - Glasgow - Lille Model - Lille Model Projection (using day 0 of Rx, calculates decision making for bilirubin values on day 7) - Maddrey Discriminant Function - MELD alcoholic hepatitis score ( Includes survival percentage) Autoimmune Liver Disease Calculators: -Autoimmune hepatitis Score(1999 International AIH Group Report) -Autominnune hepatitis Simplified Score -AIH/PBC overlap (Paris Criteria) -PBC Survival Mayo GLOBE UK-PBC -PSC Survival Fibrosis Calculators: - APRI Fibrosis Score - FAST (Fibroscan™ + AST) Score - FIB4 Fibrosis Score - FORNS Fibrosis Score - HALT-C Cirrhosis Score - NAFLD Fibrosis Score -SAFE Fibrosis Score (Steatosis-associated Fibrosis Estimate) Risk Assessment Calculators: Liver Decompensation - Acute decompensation without ACLF: CLIF-C AD score and mortality -Acute liver failure - transplant free survival at 21 days - Acute on Chronic Liver Failure AARC score and mortality - Acute on Chronic Liver Failure CLIF-C ACLF score and mortality - Acute on Chronic Liver Failure NACSELD 30 day mortality - BE3A Score: Hep C DAA assessment for decompensated cirrhosis - Decompensation Risk - Hep C -TAM Score: 1 yr post transplant survival for ACLF-3 patients HCC Risk Hep B - HCC Risk Hep B: CHUK - HCC Risk Hep B: REACH B - HCC Risk Hep B on Rx (entecavir, tenofovir): PAGE B HCC Risk Hep C - HCC Risk Hep C : HALT-C - HCC Risk in Chronic Liver Disease: GALAD/GALADUS Other Risks -BEA Score: Baseline event anticipation for Hepatitis Deta -Cardiovascular Risk (CAD-LT): CV risk in LT candidates - CAR-OLT: 1 yr risk of cardiovascular event post OLT -Dili Mortality Risk: 6 mos mortality risk and comorbidity burden - Fungal Infection Risk - NACSELD - RUCAM for DILI assessment - Surgical Risk Cirrhosis: post op mortality major surgery -Surgical Risk Cirrhosis: VOCAL-Penn Score Other Calculators: -ANI (differentiate between alcoholic and non-alcoholic steatohepatitis) -Ascites, refractory -estimate ascites to be gained based on serum sodium and time passed -estimate sodium intake based on serum sodium and ascites gained -Body Mass Index - Portopulmonary Hypertension Calculator: - Pulmonary Vascular Resistance Calculator -diagnostic and UNOS transplant Criteria -HCV treatment tracker (calculates dates for end of Rx and SVR) -Mean arterial pressure -Wilson's Disease: EASL scoring system WebLinks: - Hepatology Societies - Hepatology Organizations - Other Resources (i.e. Drug Hepatoxicity, Hepatitis Rx drug interactions, etc) - Custom WebLinks (make your own links for reference, frequently used, etc.) Clinical Notes: - Create a title and store clinical information, pearls, or any other text for quick ready reference in one place - Can cut and paste from other text for ease of entry of your clinical data