Analysis of prognosis of patients with decompensated liver cirrhosis using the criterion of the Model of End-Stage Liver Disease.
- Author:
Hui MA
1
;
Hao WANG
;
Yan SUN
;
Fang GUO
;
Ji-lian FANG
;
Jie SHAO
;
Hui-ying RAO
;
Jian WANG
;
Lai WEI
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Female; Humans; Liver Cirrhosis; complications; diagnosis; Liver Failure; diagnosis; etiology; mortality; Male; Middle Aged; Models, Biological; Prognosis; Proportional Hazards Models
- From: Chinese Journal of Hepatology 2005;13(6):407-409
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the relationship between the Model for End-Stage Liver Disease (MELD) with Child-Pugh scoring, and the prognosis of patients with decompensated liver cirrhosis.
METHODS110 patients with decompensated liver cirrhosis were graded with MELD formula and with Child-Pugh. The death rate was observed within three months.
RESULTS31 patients died within 3-months. The mortality of patients whose MELD scores were between 10 approximately 19, 20 approximately 29, and > or = 30 was higher than those with MELD < or = 9 (The mortality of those with MELD less than 9, 10 approximately 19, 20 approximately 29, or > or = 30 was 11.76%, 38.18%, 64.71%, 75.00% respectively). The mortality of patients whose MELD scores were > or = 18 was higher than those with MELD < 18 (The mortality of those with MELD < 18, MELD > or = 18 was 26.58%, 58.06% respectively. chi2 = 9.643). The mortality of Child A, B, C was 14.89%, 42.55%, 75% respectively.
CONCLUSIONBoth MELD and Child-Pugh scores can accurately predict the short-term prognosis of patients with decompensated liver cirrhosis.
