In a child with active liver failure, the most important prognosis factor for death is –
Correct Answer: Gram (–)ve sepsis
Description: Prognosis of hepatic failure in children
Children with hepatic failure have somewhat better prognosis.
The prognosis varies considerably with -
i) Cause of liver failure
ii) Stage of hepatic encephalopathy
Poor prognostic factors for mortality
If cause of liver failure is —> Wilson disease, idiopathic
Stage IV coma —> Most common cause of death is brain stem herniation
Age < I year
Sepsis
Severe hemorrhage
Renal failure
, Need for dialysis before transplantation
For option b & c -
"Pretransplant serum bilirubin concentration and the INR (prothrombin time) of coagulation are not predictive of post transplant survival".
Category:
Pediatrics
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