Table 1. Diagnostic criteria for hepatorenal syndrome in cirrhosis (Adapted from Salerno et al. 6).
Cirrhosis with ascites |
Serum creatinine >133 μmol/l (1.5 mg/dl) |
No improvement of serum creatinine (decrease to a level of ⩽133 μmol/l) after at least 2 days with diuretic withdrawal and volume expansion with albumin |
Absence of shock |
No current or recent treatment with nephrotoxic drugs |
Absence of parenchymal kidney disease, as indicated by proteinuria >500 mg/day, microhematuria (>50 red blood cells per high power field), and/or abnormal renal ultrasonography |