Table 2.

Definition of the patient group assigned to the GREEN PPP line, patients in need of preserved tertiary care

GREEN pandemic priority pathway (ppp) = go directly to tertiary care Do not delay/deviate tertiary care for the following groups of ACLD patients
1. Registered in the cirrhosis registry (RH7)
2. Not registered, but share similar characteristics (see inclusion criteria to RH7)
3. Acute-on-chronic liver failure (ACLF) or first acute decompensation of any subtype, especially if indicated to liver transplantation (LT)
4. Candidates for LT, especially if the indication is   a. urgent (acute liver failure) [82, 83], or   b. ACLF (although not yet formally accepted as urgent in Slovakia) [84], or   c. Severe acute alcoholic hepatitis (SAH) within Lille criteria [85, 86]
5. Severe alcoholic hepatitis particularly non-responders to, or not eligible for, corticosteroid therapy
6. Indicated for secondary treatment modalities for chronic decompensation, e.g.,   - Transjugular portosystemic shunt (TIPSS) or permanent drainage for refractory ascites   - Closure of the shunt (TIPSS) in persistent hepatic encephalopathy (HE)   - Need for locoregional therapy for HCC

ACLD advanced chronic liver disease; ACLF acute in chronic liver failure; HCC hepatocellular carcinoma; HE hepatic encephalopathy; LT liver transplantation; PPP pandemic priority pathway; RH7 Registry HEGITO (Div. hepatology, gastroenterology and liver transplantation) 7; TIPS transjugular intrahepatic portosystemic shunt