Hepatology

Glasgow Alcoholic Hepatitis (GAHS)

Prognosis in alcoholic hepatitis (GAHS).

Education and reference only. Not a substitute for clinical judgement, local policy or product labelling. Always verify before clinical use. Values are calculated in your browser and never stored.

When to use

Use in alcoholic hepatitis to predict mortality and help decide on corticosteroid therapy, often alongside Maddrey's discriminant function.

Why use

A score ≥9 identifies patients with poorer prognosis who may benefit from steroids.

Advice

A GAHS ≥9 indicates poorer prognosis; steroid decisions are specialist-led, weighing infection and bleeding risk and using it with Maddrey's DF.

Evidence & references

  1. Forrest EH et al. Analysis of factors predictive of mortality in alcoholic hepatitis and derivation of the GAHS. Gut. 2005.

About the creator

Forrest EH et al.

Related calculators

Maddrey's Discriminant FunctionSeverity of alcoholic hepatitis.Child-Pugh ScoreSeverity and prognosis of chronic liver disease.MELD ScoreSeverity of end-stage liver disease.

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