rfactor_interpret: R Factor for Liver Injury Interpreted
Description
Using alanine aminotransferase and alkaline phosphatase calculate an index that can distinguish between hepatocellulal, cholestatic, or a combination of both in patients presenting with acute liver injury. Index value is then interpreted in the ocntext of hepatocellular or cholestatic disease. Recommended for use in risk stratification and diagnosis by the American College of Gastroenterology.
Usage
rfactor_interpret(alt, alp)
Value
A numeric value/vector with predicted R factor score.
Arguments
alt
Numeric value of alanine aminotransferase (U/L).
alp
Numeric value of alkaline phosphatase (U/L).
References
Bénichou C. Criteria of drug-induced liver disorders. Report of an international consensus meeting. J Hepatol. 1990;11(2):272-6.
Chalasani NP, Hayashi PH, Bonkovsky HL, et al. ACG Clinical Guideline: the diagnosis and management of idiosyncratic drug-induced liver injury. Am J Gastroenterol. 2014;109(7):950-66.