An increase in MELD score is associated with a decrease in residual liver function. MELD scores showed significant correlations with both MEGX values and Child-Pugh scores.Ĭonclusions: In a European series of cirrhotic patients the MELD score is an excellent predictor of both short and medium term survival, and performs at least as well as the Child-Pugh score. Serum creatinine, international normalised ratio, and MEGX 60 were independently associated with six month mortality while the same variables and the presence of ascites were associated with one year mortality. Child-Pugh and MELD scores, and MEGX serum levels were significantly different among patients who survived and those who died. Results: Thirty one patients died within the first year of follow up. MELD values were correlated with both Child-Pugh scores and MEGX test results. Multivariate analysis was performed on all variables to identify the parameters independently associated with one year and six month survival. The Child-Pugh score was calculated and the MELD score was computed according to the original formula for each patient. Patients and methods: We retrospectively evaluated survival of a cohort of 129 cirrhotic patients with a follow up period of at least one year. We also assessed correlations between the MELD scoring system and the degree of impairment of liver function, as evaluated by the monoethylglycinexylidide (MEGX) test. However, this model has not been validated beyond its original setting.Īim: To evaluate the short and medium term survival prognosis of a European series of cirrhotic patients by means of MELD compared with the Child-Pugh score. The model for end stage liver disease (MELD) has been proposed as a tool to predict mortality risk in cirrhotic patients. Background: Indices for predicting survival are essential for assessing prognosis and assigning priority for liver transplantation in patients with liver cirrhosis.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |