Application of the McCluskey Index to Predict Blood Product Requirements During Liver Transplantation

Validation of predictive models identifying patients at risk for massive transfusion during liver transplantation and their potential impact on blood bank resource utilization

“…This study uses an additional patient cohort to validate and refine our prior prediction model for MT in patients undergoing LT 11 . We also validated another predictive model, the McRI, 25 developed elsewhere and externally validated in another institution 39 . Finally, we developed the ModRI, which is the sum of five binary variables derived or directly taken from the refined prediction model (Hb < 10 g/dL, PLTs < 100 × 10 9 /dL, TEG R interval > 6 minutes, SLK, and retransplantation).…”

Predicting packed red blood cell transfusion in living donor liver transplantation: A retrospective analysis

“…[ 22 ] developed a risk index based on age, preoperative haemoglobin, platelets, INR, creatinine and albumin to predict blood loss, which was validated by Escoresca et al . [ 23 ] However, this study was conducted during the initial stages of the liver transplant programme at their centre. The authors acknowledge that the number of PRBC transfusions required intraoperatively has since reduced which could be a result of improvement in operative skills.…”

Coagulopathy during liver transplantation

“…McCluskey index is a scoring system which is used to predict the bleeding risk based on the parameters including age, hemoglobin, platelets, INR, creatinine, and albumin. [ 15 ] It is rated from 0 to 8, and scores >5 indicate the need for >6 units of ES. Another study suggested the MELD score >25, ascid, varicose veins, platelets, hemoglobin, the level of fibrinogen and fibrin degradation products, and the presence of hemostasis to be the predictors as well.…”