+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Paediatric Hepatology Dependency score (PHD score): an audit tool



Paediatric Hepatology Dependency score (PHD score): an audit tool



Journal of Pediatric Gastroenterology and Nutrition 44(1): 108-115



The aim was to develop a tool that measures patient dependency and disease severity in children with mild to severe liver disease. The initial pilot score was based on known markers of disease severity in acute and chronic liver disease. Between 1997 and 2001, the score was modified 4 times and reduced to comprise 10 key parameters: aspartate transaminase, prothrombin time, albumin, bilirubin, ascites, nutritional support, organ dysfunction, blood product support, sepsis and intravenous access. The score's face validity, internal consistency, interobserver agreement and construct validity were evaluated statistically and by the use of endpoints such as survival and transplant after 6 months. The final 10 variable score was tested on 71 children admitted over two 3-month periods. The Cronbach's alpha score (a test for internal consistency) for the total score was 0.72. Serial data paralleled clinical deterioration and response to interventions. A Paediatric Hepatology Dependency score >15 had an odds ratio of 7 (P = 0.0125) for death or transplant at 6 months. The score was also found to agree with the paediatric end-stage liver disease score for the 12 patients being listed for liver transplantation (r = 0.660, P < 0.05). The Paediatric Hepatology Dependency score is valid and internally consistent and is a convenient measure of dependency and disease severity in a heterogeneous group of patients with liver disease. It also allows admissions to be audited for comparison between eras and for monitoring the progress of patients while on the ward.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 016598525

Download citation: RISBibTeXText

PMID: 17204963

DOI: 10.1097/01.mpg.0000243427.86345.25


Related references

Can paediatric early warning score be used as a triage tool in paediatric accident and emergency?. European Journal of Emergency Medicine 15(6): 359-360, 2008

Paediatric cardiac surgery and autoevaluation: risk score, complexity score and graphic analysis. Archives des Maladies du Coeur et des Vaisseaux 98(5): 477-484, 2005

Value of the preoperative SOFT-score, P-SOFT-score, SALT-score and labMELD-score for the prediction of short-term patient and graft survival of high-risk liver transplant recipients with a pre-transplant labMELD-score ≥30. Annals of Transplantation 17(2): 11-17, 2012

The five-word test in three age-groups of mild Alzheimer's disease (60, 70 and 80 year-old patients): Utility of the Total Score, Total Weighted Score, Learning Score and Memory Score. Revue Neurologique 166(8-9): 711-720, 2010

The CHESS score: a simple tool for early prediction of shunt dependency after aneurysmal subarachnoid hemorrhage. European Journal of Neurology 23(5): 912-918, 2016

Stability of the Euro-score as an identification tool for patient risk groups -- dependency of the applied documentation system. Zeitschrift für Kardiologie 91(2): 125-130, 2002

Which clinical variable influences health-related quality of life the most after spontaneous subarachnoid hemorrhage? Hunt and Hess scale, Fisher score, World Federation of Neurosurgeons score, Brussels coma score, and Glasgow coma score compared. World Neurosurgery 80(6): 853-858, 2013

The Kid-Short Marfan Score (Kid-SMS) - an easy executable risk score for suspected paediatric patients with Marfan syndrome. Acta Paediatrica 102(2): E84-E89, 2013

The Kid-Short Marfan Score Kid-SMS - An easy executable risk score for suspected paediatric Marfan patients. 2012

Multicentre validation of the bedside paediatric early warning system score: a severity of illness score to detect evolving critical illness in hospitalised children. Critical Care 15(4): R184, 2011

The Paediatric Admission Quality of Care (PAQC) score: designing a tool to measure the quality of early inpatient paediatric care in a low-income setting. Tropical Medicine and International Health 21(10): 1334-1345, 2016

Multi-centre validation of the Bedside Paediatric Early Warning System Score A severity of illness score to detect evolving critical illness in hospitalized children. 2011

Ergometric score systems after myocardial infarction: prognostic performance of the Duke Treadmill Score, Veterans Administration Medical Center Score, and of a novel score system, GISSI-2 Index, in a cohort of survivors of acute myocardial infarction. American Heart Journal 145(3): 475-483, 2003

Association between the Osteoporosis Self-Assessment Tool for Asians Score and Mortality in Patients with Isolated Moderate and Severe Traumatic Brain Injury: A Propensity Score-Matched Analysis. International Journal of Environmental Research and Public Health 13(12): -, 2016

Predictive value of paediatric risk of mortality score and risk adjustment for congenital heart surgery score after paediatric open-heart surgery. Interactive Cardiovascular and Thoracic Surgery 6(5): 628-631, 2007