Licurse_Score_guideline v.1
Licurse Score for Renal Ultrasound
To predict probability of hydronephrosis on renal ultrasonography (RUS) requiring urologic intervention.
Can be used in adult patients with acute kidney injury. Variables: - History of hydronephrosis: Yes= high risk group, No=- - Race: Non-black=1, Black=0 - History of recurrent urinary tract infections: Yes=1, No=0 - Diagnosis consistent with possible obstruction: Yes=1, No=0 History of congestive heart failure: No=1, Yes=0 - History of sepsis or prerenal acute kidney injury, use of pressors, or hypotension: No=1, Yes=0 - Exposure to nephrotoxic medications- prior to acute kidney injury: No=1, Yes=0 Formula: Addition of the selected variables. Licurse Score Risk group Risk of hydronephrosis on imaging Risk of hydronephrosis requiring stent or nephrostomy tube placement ≤2 Low 4.0% 1.1% 3 Medium 6.8% 0.5%* >3 High 20.9% 4.9%
1. Licurse A, Kim MC, Dziura J, et al. Renal ultrasonography in the evaluation of acute kidney injury: developing a risk stratification framework. Arch Intern Med. 2010;170(21):1900-7. 2. Ip IK, Silveira PC, Alper EC, Benson CB, Khorasani R. External validation of risk stratification strategy in the use of renal ultrasonography in the evaluation of acute kidney injury. J Hosp Med. 2016;11(11):763-767.
OBSERVATION.licurse_score.v0
