🫀 Glasgow Alcoholic Hepatitis Score (GAHS)
Estimate prognosis in alcoholic hepatitis with the Glasgow Alcoholic Hepatitis Score (GAHS).
Glasgow Alcoholic Hepatitis Score (GAHS)
Age
WBC (×10⁹/L)
Urea (mmol/L)
INR
Bilirubin (µmol/L)
When to use
Identify patients likely to benefit from corticosteroids.
How it works
Points for age, WBC, urea, INR and bilirubin (total 5–12). GAHS ≥ 9 indicates poor prognosis.
Key points
- In severe disease (Maddrey DF ≥ 32), GAHS ≥ 9 predicts steroid benefit.
- Combines clinical and laboratory variables.
- Reassess steroid response with the Lille score.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.