Comparison of MELD score and Child-Pugh grading in patients with liver Cirrhosis

VernacularTitle:肝硬化患者两种肝储备功能评价方法的比较
Author: Kai HU ; Shiqiang SHEN
Publication Type:Journal Article
Keywords: MELD; Child-Pugh; ROC curve
From: International Journal of Surgery 2010;37(7):450-453,封3
CountryChina
Language:Chinese
Abstract: Objective To compare the differences between MELD and Child-Pugh grading in assessing of hepatic functional reserve in patients with cirrhosis,and analyse the correlation of two systems.Methods Retrospective analysis was made on 92 cases of hepatitis cirrhosis hospitalized with the MELD and Child-Pugh score by ROC curve,the difference and relation between two systems were compared.Results MELD and Child-Pugh system were significantly correlated(r=0.669,P < 0.000),3-month survival in patients with two systems ROC curve areas was significantly different(P < 0.05),while the MELD in patients survived more than 6 months was not significantly different compared with Child-Pugh(P>0.05).ConclusionMELD and Child-Pugh can accurately assess the prognosis of survival for patients with hepatic cirrhosis,and MELD is suitable for assessment of risk,heavy patients,not for those survived more than 6 months.