Korean J Hepatol.  2006 Dec;12(4):530-538.

Clinical Usefulness of delta MELD to Predict the Survival of Patients with Liver Cirrhosis

Affiliations
  • 1Institute for Digestive Research, Department of Internal Medicine, Soon Chun Hyang University, College of Medicine, Seoul, Korea.
  • 2Department of Gastroenterology and Hepatology, Gil Medical Center, Gachon University, Incheon, Korea. kimys@gilhospital.com

Abstract

<0.001) compared with 0.575 for MELD score and 0.636 for CP score at 6 month-mortality; the area was 0.727, 0.594 and 0.657 at 12 month-mortality; 0.693, 0.587 and 0.639 at 24 month-mortality, respectively. The patients with delta MELD/month more than 1.0 had resulted in the higher mortality at 6, 12 and 24 months. The delta MELD/month was associated with mortality and was an independent prognostic predictor with a risk ratio of 1.679 (95% CI: 1.381-2.042, P<0.001). CONCLUSIONS: Determination of delta MELD could be better prognostic predictor for patients with liver cirrhosis than initial MELD and CP score.

Keyword

Liver cirrhosis; Survival; Child-Pugh score; MELD score; Prognosis; delta MELD

MeSH Terms

Adult
Aged
Female
Humans
Liver Cirrhosis/*diagnosis/*mortality
Male
Middle Aged
Prognosis
*Severity of Illness Index
Survival Rate
Time Factors
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