Clinical Usefulness of delta MELD to Predict the Survival of Patients with Liver Cirrhosis.
- Author:
Soo Hoon EUN
1
;
Yun Soo KIM
;
Jae Young JANG
;
Young Gook CHEON
;
Young Seok KIM
;
Young Deok CHO
;
Joon Sung LEE
;
Moon Sung LEE
;
Ju Hyun KIM
;
Chan Sup SHIM
;
Boo Sung KIM
Author Information
1. Institute for Digestive Research, Department of Internal Medicine, Soon Chun Hyang University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; English Abstract ; Evaluation Studies
- Keywords:
Liver cirrhosis;
Survival;
Child-Pugh score;
MELD score;
Prognosis;
delta MELD
- MeSH:
Adult;
Aged;
Female;
Humans;
Liver Cirrhosis/*diagnosis/*mortality;
Male;
Middle Aged;
Prognosis;
*Severity of Illness Index;
Survival Rate;
Time Factors
- From:The Korean Journal of Hepatology
2006;12(4):530-538
- CountryRepublic of Korea
- Language:Korean
-
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.
