Table 1

Summary of prognostic screening tools

Supportive and Palliative Care Indicators Tool (SPICT)38 Bristol Screening Tool39
DescriptionTool to help identify people with deteriorating health due to one or multiple advanced conditions who may have unmet supportive and palliative care needs. Includes general indicators of poor or deteriorating health alongside condition-specific criteria. Suggested supportive care intervention is described for patients meeting criteria.Prognostic screening tool used to identify patients admitted with decompensated cirrhosis at high risk of dying over the coming year. Suggested supportive care intervention is described for patients meeting criteria.
Criteria Either: advanced cirrhosis with ≥1 complications in last year
  • Diuretic resistant ascites.

  • Hepatic encephalopathy.

  • Hepatorenal syndrome.

  • Bacterial peritonitis.

  • Recurrent variceal bleeds


or liver transplant contraindicated.
Score of >2 from:
  • Child-Pugh Grade C.

  • Two liver-related admissions last 6 months.

  • Ongoing alcohol use (alcohol-related liver disease patients).

  • Unsuitable for transplant work-up.

  • WHO performance status 3–4.