Model for End-Stage Liver Disease score for predicting outcome in critically ill medical patients with liver cirrhosis.
Publication/Presentation Date
8-1-2012
Abstract
PURPOSE: We hypothesized that the Model for End-Stage Liver Disease (MELD) score at admission to the intensive care unit (ICU) can predict in-hospital mortality for patients with liver cirrhosis. We also tested the MELD-natremia (Na) score and compared the predictive value of the 2 models.
MATERIALS AND METHODS: This is a retrospective cohort study. A total of 441 consecutive patients with liver cirrhosis admitted to the ICU were included. The MELD and MELD-Na scores and other variables were obtained upon patients' admission to the ICU.
RESULTS: The area under the receiver operating characteristic curve to predict in-hospital mortality was 0.77 (95% confidence interval, 0.73-0.82) for the MELD score and 0.77 (95% confidence interval, 0.73-0.81) for the MELD-Na score.
CONCLUSION: The MELD scoring system provides useful prognostic information for critically ill patients with liver cirrhosis admitted to an ICU. The MELD and MELD-Na scores had similar predictive value.
Volume
27
Issue
4
First Page
1
Last Page
6
ISSN
1557-8615
Published In/Presented At
Cavallazzi, R., Awe, O. O., Vasu, T. S., Hirani, A., Vaid, U., Leiby, B. E., Kraft, W. K., & Kane, G. C. (2012). Model for End-Stage Liver Disease score for predicting outcome in critically ill medical patients with liver cirrhosis. Journal of critical care, 27(4), 424.e1–424.e4246. https://doi.org/10.1016/j.jcrc.2011.11.014
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
22227088
Department(s)
Administration and Leadership
Document Type
Article