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. 2023 Feb 17;77(3):1036–1065. doi: 10.1002/hep.32689

TABLE 8. Prognostic indices for patients with idiosyncratic DILI.

Model/parameter Model components Proposed thresholds for liver transplant/death Comments
MELD score143 Bilirubin, INR, and creatinine AUROC = 0.83 Developed for cirrhosis patients
Hy's law145 ALT > 3× ULN and bilirubin > 2.5 mg/dl PPV = 8%–20% ALP should be < 2× ULN; not applicable to mixed/cholestatic cases
Modified Hy's law144 R‐value > 5 and bilirubin > 2.5 mg/dl PPV = 12%; AUROC = 0.73
Charlson Comorbidity Index and labs146 a MELD score, albumin, Charlson > 2 AUROC = 0.89 Discovery and validation cohort used for 6‐month mortality

Abbreviations: AUROC, area under the receive operating curve; MELD, Model for End‐Stage Liver Disease; PPV, positive predictive value.

a

Web‐based mortality calculator available at http://gihep.com/calculators/hepatology/dili‐CAM/.