Cirrhosis-ICU Mortality Model (CIMM)

On Dialysis :
Creatinine :
Total Bilirubin:
INR :
Ventilated on first day ICU admission:

The Cirrhosis-ICU Mortality Model (CIMM) uses additional data from first day ventilation to add additional mortality risk to the MELD Score

Formula :

(3.8[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.6[Ln serum creatinine (mg/dL)] + 6.4) + Additional weighting for ventilation status.

Explanation of Result :

MELD ICU 0-1 = Low Risk 7-day mortality (9-33%)
MELD ICU 2 = Intermediate Risk 7-day mortality (27-56%)
MELD ICU 3-4 = High Risk 7-day mortality (71-74%)

* Please verify all calculations prior to clinical use.

References

  • Bahirwani R1, Ghabril M, Forde KA, Chatrath H, Wolf KM, Uribe L, Reddy KR, Fuchs B, Chalasani N. Factors that predict short-term intensive care unit mortality in patients with cirrhosis. Clin Gastroenterol Hepatol. 2013 Sep;11(9):1194-1200. PMID: 23602820.