Acute liver failure classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Acute liver failure is classified into hyperacute , acute and subacute depending upon the time lapsed between appearance of jaundice to encephalopathy. It is also classified into fulminant an subfulminant basing upon the time lapsed from start if illness to onset of encephalopathy.
Classification
The 1993 classification defines [1] It reflects the fact that the pace of disease evolution strongly influence prognosis. Underlying aetiology is the other significant determinant of outcome.[2] It is based upon the duration between onset of jaundice to onset of encephalopathy.
| Time | Classification |
|---|---|
| 1 week | Hyperacute |
| 1 week - 1 month | Acute |
| 1 week - 3 months | Subacute |
Acute liver failure can be classified into fulminant or subfulminant. Both the forms have poor prognosis. It is based upon the duration between onset of hepatic illness to development of encephalopathy.[3]
| Classification | Time for Hepatic Encephalopathy |
|---|---|
| Fulminant | within 2 months |
| Subfulminant | within 2 months to 6 months |
References
- ↑ O'Grady JG, Schalm SW, Williams R. Acute liver failure: redefining the syndromes. Lancet 1993;342:273-5. PMID 8101303.
- ↑ O'Grady JG (2005). "Acute liver failure". Postgraduate medical journal. 81 (953): 148–54. doi:10.1136/pgmj.2004.026005. PMID 15749789.
- ↑ Williams R (1996). "Classification, etiology, and considerations of outcome in acute liver failure". Seminars in Liver Disease. 16 (4): 343–8. doi:10.1055/s-2007-1007247. PMID 9027947. Retrieved 2012-10-26. Unknown parameter
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