Gastroenterology & Hepatology Strong — EASL 2022 / Reverter 2014
VOCAL-Penn Score (Cirrhosis Surgical Risk) and Variceal Bleeding Risk
VOCAL-Penn estimates mortality after surgery in cirrhosis; it does not predict variceal rebleeding. For acute variceal bleeding, Baveno VII criteria select patients for pre-emptive TIPS.
Used in: Gastrointestinal Bleeding
References
- Mahmud N, et al. Risk prediction models for post-operative mortality in patients with cirrhosis. Hepatology. 2021;73(1):204–218.
- de Franchis R, et al. Baveno VII — Renewing consensus in portal hypertension. J Hepatol. 2022;76(4):959–974.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Propranolol (Portal Hypertension) · Antihypertensive
- Carvedilol (Portal Hypertension) · Non-Selective Beta-Blocker with Alpha₁-Blocking Activity
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Selexipag · Pulmonary Arterial Hypertension
- Macitentan · Pulmonary Arterial Hypertension
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.
