Table 2.
King's College Hospital criteria for liver transplantation in acetaminophen-induced acute liver failure
Current criteria [11] | Modified criteria [14] |
List for transplantation if: | Strongly consider listing for transplantation if: |
Arterial pH <7.3 after adequate fluid resuscitation | Arterial blood lactate concentration >3.5 mmol/l after early fluid resuscitation |
List for transplantation if all three of the following occur within a 24-h period: | List for transplantation if: |
• Creatinine >300 μmol/l | Arterial pH <7.3, or arterial blood lactate concentration >3.0 mmol/l after adequate fluid resuscitation |
• PT >100 s (INR >6.5) | |
• Grade III/IV encephalopathy | List for transplantation if all three of the following occur within a 24-h period: |
• Creatinine >300 μmol/l | |
• PT >100 s (INR >6.5) | |
• Grade III/IV encephalopathy |
INR = International Normalized Ratio; PT = prothrombin time.