Table 2. Cairo-Bishop classification for tumor lysis syndrome.
LTLS, laboratory tumor lysis syndrome; ULN, upper limit of normal.
Laboratory tumor lysis syndrome - abnormality in two or more | |
Metabolite or electrolyte | Diagnostic criteria |
Uric acid | ≥8 mg/dL or 25% increase from baseline |
Potassium | ≥6 mEq/L or 25% increase from baseline |
Phosphorus | ≥6.5 mg/dL (children), ≥4.5 mg/dL (adults), or 25% increase from baseline |
Calcium | ≥25% decrease from baseline |
Clinical tumor lysis syndrome | |
LTLS and at least one of the following: (1) creatinine × 1.5 ULN (age >12 years or age-adjusted); (2) cardiac arrhythmia or sudden death; and (3) seizure |