In a child with active liver failure, the most important prognosis factor for death is –
(A) Increasing transaminases (B) Increasing bilirubin (C) Increasing prothrombin time (D) Gram (–)ve sepsis
(D) Prognosis of hepatic failure in children 

Children with hepatic failure have somewhat better prognosis.
The prognosis varies considerably with -

i) Cause of liver failure
ii) Stage of hepatic encephalopathy

Poor prognostic factors for mortality


If cause of liver failure is         —>       Wilson disease, idiopathic
Stage IV coma —> Most common cause of death is brain stem herniation
Age < I year
Sepsis
Severe hemorrhage
Renal failure
, Need for dialysis before transplantation

For option b & c -
"Pretransplant serum bilirubin concentration and the INR (prothrombin time) of coagulation are not predictive of post transplant survival".