On th basis of our results, we do not endorse elective TIPS in patients with MELD scores > 24. The MELD score is useful in identifying patients at a higher risk of early death after an elective TIPS. No early death was attributed to a fatal complication during TIPS. The mean procedural times were 95.6 (+/- 8.4) min (EDG) and 89.2 (+/- 7.5) min (SG) (p > 1). The study showed: (1) the MELD, the CTP score, and the Emory score were similar in accuracy for predicting three-month mortality (2) the MELD was more accurate than the others for predicting 12. Figure 2 Association between Model for End-Stage Liver Disease (MELD) score on days 1 to 7 after intensive care unit admission and 90-day mortality. Although MELD score was the only predictor of 6-month mortality in the subgroup of patients with advanced liver disease (MELD score: 21), only ascites and hyponatremia (as a continuous or. The mean portosystemic gradients before TIPS were 20.5 (+/- 7.7) mmHg (EDG) and 22.7 (+/- 7.3) (SG) (p > 1) and the mean portosystemic gradients after TIPS were 6.5 (+/- 3.5) (EDG) and 6.9 (+/- 2.4) (SG) (p > 1). Overall, the AUCs using the MELD score for predicting 90-day mortality in each of the first 7 days ranged from 0.68 to 0.72, with a nadir on day 6. In multivariate analysis MELD score, persistent ascites and low Na (<130 mmol) were the only factors independently associated with 6-month mortality. The early death rate was highest in the pre-TIPS MELD > 24 subgroup. A p value of less than 0.05 was considered significant. in ChildPugh class C patients or those with a MELD score >15 3, 19. Data were analyzed using the Fisher exact test, chi-square test and independent-sample t-test. Preoperative predictors of mortality include (1) hepatic functional reserve. The early death rate was calculated for MELD score subgroups (1-10, 11-17, 18-24, and >24). The MELD and Child-Pugh scores before TIPS were compared between the survivor group (SG) and the early death (EDG) group. The MELD and Child-Pugh scores before TIPS, etiology of cirrhosis, portosystemic gradients before and after TIPS, procedure time, and procedural complications were obtained from the medical records. Elective TIPS was performed in 119 patients with a mean age of 55.1 (+/- 9.6) years. Patients who underwent elective TIPS were selected. MELD Score Mortality Probability 40: 71.3 mortality: 30-39: 52. The medical records of all patients who underwent a TIPS procedure between and Jin a single institution were reviewed. The estimated 3-month mortality is based on the MELD score highlighted in yellow above. This was a retrospective, IRB-approved study. To Evaluate the MELD score as a predictor of 30-day mortality in patients undergoing elective TIPS procedures.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |