Glasgow alcoholic hepatitis score (GAHS)
The Glasgow alcoholic hepatitis score predicts survival at 28 and 84 days. In patients with a Maddrey discriminant function of 32 or more, a GAHS of 9 or more identifies those whose survival improves with corticosteroids.
Enter the values above.
Points
| 1 point | 2 points | 3 points | |
|---|---|---|---|
| Age | Under 50 | 50 or over | |
| White cell count (× 10⁹/L) | Under 15 | 15 or more | |
| Urea (mmol/L) | Under 5 | 5 or more | |
| Prothrombin ratio or INR | Under 1.5 | 1.5 to 2.0 | Above 2.0 |
| Bilirubin (µmol/L) | Under 125 | 125 to 250 | Above 250 |
References
Forrest EH, Evans CD, Stewart S, et al. Analysis of factors predictive of mortality in alcoholic hepatitis and derivation and validation of the Glasgow alcoholic hepatitis score. Gut. 2005;54(8):1174-1179.
Forrest EH, Morris AJ, Stewart S, et al. The Glasgow alcoholic hepatitis score identifies patients who may benefit from corticosteroids. Gut. 2007;56(12):1743-1746.