🫀 Glasgow Alcoholic Hepatitis Score (GAHS)
UseIdentify patients likely to benefit from corticosteroids.
SourceForrest EH, et al. Gut 2005
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
In severe disease (Maddrey DF ≥ 32), GAHS ≥ 9 predicts steroid benefit.
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
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age | < 50 (1) |
|---|---|
| WBC (×10⁹/L) | < 15 (1) |
| Urea (mmol/L) | < 5 (1) |
| INR | 1.5–2.0 (2) |
| Bilirubin (µmol/L) | 125–250 (2) |
→GAHS7/12
- Interpretation：< 9 — better prognosis; steroid benefit less clear.
| Age | < 50 (1) |
|---|---|
| WBC (×10⁹/L) | < 15 (1) |
| Urea (mmol/L) | < 5 (1) |
| INR | < 1.5 (1) |
| Bilirubin (µmol/L) | < 125 (1) |
→GAHS5/12
- Interpretation：< 9 — better prognosis; steroid benefit less clear.
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Glasgow Alcoholic Hepatitis Score (GAHS)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Glasgow Alcoholic Hepatitis Score (GAHS) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Glasgow Alcoholic Hepatitis Score (GAHS) calculated in practice? Can you show a worked example?
- Inputs: Age < 50 (1), WBC (×10⁹/L) < 15 (1), Urea (mmol/L) < 5 (1), INR 1.5–2.0 (2), Bilirubin (µmol/L) 125–250 (2) → Result: GAHS 7 /12（Interpretation: < 9 — better prognosis; steroid benefit less clear.） Inputs: Age < 50 (1), WBC (×10⁹/L) < 15 (1), Urea (mmol/L) < 5 (1), INR < 1.5 (1), Bilirubin (µmol/L) < 125 (1) → Result: GAHS 5 /12（Interpretation: < 9 — better prognosis; steroid benefit less clear.）