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What is your approach to perioperative risk stratification and optimization in patients with cirrhosis?
Do you find risk scores such as VOCAL-Penn to be helpful?
Answer from: at Academic Institution
The VOCAL-Penn score is one piece of information that I use for risk stratification in patients with cirrhosis. I usually treat symptomatic decompensated cirrhosis first (hepatic encephalopathy, ascites, hepatic hydrothorax, hepatorenal syndrome, variceal bleeding), because the risk scores usually c...
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