The King's College Criteria is a clinical scoring system specifically designed for patients with non-acetaminophen-induced acute liver failure. This calculator is used to predict the need for liver transplantation in patients with acute liver failure not caused by acetaminophen overdose.
The King's College Criteria takes into account various clinical and laboratory parameters such as age, duration of jaundice before encephalopathy, prothrombin time, and serum bilirubin level. It helps clinicians to stratify the risk and make decisions about the urgency of liver transplantation.
Exclusion criteria for its use would be patients with acute liver failure due to acetaminophen overdose, as there is a separate King's College Criteria specifically for acetaminophen-induced acute liver failure. Additionally, it may not be applicable in patients with chronic liver disease or those with unclear etiology of liver failure.
Reference
J G O'Grady, G J Alexander, K M Hayllar et al. Early indicators of prognosis in fulminant hepatic failure. Gastroenterology. 1989 Aug;97(2):439-45.
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