• Journal of critical care · Aug 2012

    Model for End-Stage Liver Disease score for predicting outcome in critically ill medical patients with liver cirrhosis.

    • Rodrigo Cavallazzi, Olatilewa O Awe, Tajender S Vasu, Amyn Hirani, Urvashi Vaid, Benjamin E Leiby, and Walter K Kraft.
    • Department of Medicine, Division of Pulmonary, Critical Care and Sleep Disorders Medicine, University of Louisville, Louisville, Kentucky 40202, USA. rcavallazzi@gmail.com
    • J Crit Care. 2012 Aug 1;27(4):424.e1-6.

    PurposeWe hypothesized that the Model for End-Stage Liver Disease (MELD) score at admission to the intensive care unit (ICU) can predict in-hospital mortality for patients with liver cirrhosis. We also tested the MELD-natremia (Na) score and compared the predictive value of the 2 models.Materials And MethodsThis is a retrospective cohort study. A total of 441 consecutive patients with liver cirrhosis admitted to the ICU were included. The MELD and MELD-Na scores and other variables were obtained upon patients' admission to the ICU.ResultsThe area under the receiver operating characteristic curve to predict in-hospital mortality was 0.77 (95% confidence interval, 0.73-0.82) for the MELD score and 0.77 (95% confidence interval, 0.73-0.81) for the MELD-Na score.ConclusionThe MELD scoring system provides useful prognostic information for critically ill patients with liver cirrhosis admitted to an ICU. The MELD and MELD-Na scores had similar predictive value.Copyright © 2012 Elsevier Inc. All rights reserved.

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