The patient has 1 and either 2 or 3.
1.
The
patient is not seeking dialysis transplant
AND
2.
Creatine
clearance* <10cc/min (<15cc/min for diabetics)
OR
3.
Serum
creatine > 8.0mg/dl (> 6.0 mg/dl for diabetics)
Supportive
Evidence:
- Albumin
3.5 gm/dl
- Platelets
count < 25,000
- Mechanical
Ventilation
- Malignancy
(other organ system)
- Chronic
lung disease
- Advanced
cardiac disease
- Sepsis
- Immunosuppression/AIDS
- Cachexia
- Disseminated
intravascular coagulation
- Advanced
liver disease
- Gastrointestinal
bleeding
*Creatine
Clearance Calculation
(140-age)
x (weight) ÷ 72 x (serum creatine in mg/dl)
multiply by 0.85 for women
Age in years
Weight in Kg
In the absence of one or more of the above findings,
rapid decline or comorbidities may also support eligibility for hospice
care.
