Value of MELD and MELD-Based Indices in Surgical Risk Evaluation of Cirrhotic Patients: Retrospective Analysis of 190 Cases
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- 作者：Beatriz P. Costa ; F. Castro Sousa ; Marco Ser么dio and C茅sar Carvalho
- 刊名：World Journal of Surgery
- 出版时间：August, 2009
- 出版年：2009
- 期刊代码：219_0364-2313
- 类别：med
- 卷：33
- 期：8
- 页码：1711-1719
- 数据来源：sp
摘要
Background Recent studies have suggested that the Model for End-Stage Liver Disease (MELD) may represent a promising alternative to the Child-Turcotte-Pugh classification as a predictive factor of operative mortality and morbidity. This study was designed to evaluate the value of MELD and four MELD-based indices (iMELD: integrated MELD; MESO: MELD to sodium ratio; MELD-Na: MELD with incorporation of sodium; MELD-XI: MELD excluding the International Normalized Ratio) in the quantification of surgical risk for patients with cirrhosis and compare its prognostic value with the Child-Turcotte-Pugh classification and two derived scores (proposed by Huo and Giannini, respectively).