Model for end stage of liver disease (MELD) is better than the Child-Pugh score for predicting in-hospital mortality related to esophageal variceal bleeding

Flores Rendón, Ángel Ricardo y González González, José Alberto y García Compeán, Diego y Maldonado Garza, Héctor Jesús y Garza Galindo, Aldo Azael (2008) Model for end stage of liver disease (MELD) is better than the Child-Pugh score for predicting in-hospital mortality related to esophageal variceal bleeding. Annals of hepatology, 7 (3). pp. 230-234. ISSN 1665-2681

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Resumen

Aim: The Child Pugh and MELD are good methods for predicting mortality in patients with chronic liver disease. We investigated their performance as risk factors for failure to control bleeding, in-hospital overall mortality and death related to esophageal variceal bleeding episodes. Methods: From a previous collected database, 212 cirrhotic patients with variceal bleeding admitted to our hospital were studied. The predictive capability of Child Pugh and MELD scores were compared using c statistics. Results: The Child-Pugh and MELD scores showed marginal capability for predicting failure to control bleeding (the area under receiver operating characteristics curve (AUROC) values were 0.05). The AU-ROC value of MELD for predicting mortality related to variceal bleeding was higher than the Child-Pugh score: 0.905 (CI 95% 0.801-1.00) vs 0.794 (CI 95% 0.676 - 0.913) respectively (p < 0.05). Conclusions: MELD and Child-Pugh were not efficacious scores for predicting failure to control bleeding. The Child-Pugh and MELD scores had similar capability for predicting in-hospital overall mortality. Nevertheless, MELD was significantly better than Child-Pugh score for predicting in-hospital mortality related to variceal bleeding.

Tipo de elemento: Article
Palabras claves no controlados: Hemorragia varicosa, MELD, Child-Pugh, falta de control del sangrado, várices esofágicas
Materias: R Medicina > RC Medicina Interna, Psiquiatría, Neurología
Divisiones: Medicina
Usuario depositante: Editor Repositorio
Creadores:
CreadorEmailORCID
Flores Rendón, Ángel RicardoNO ESPECIFICADONO ESPECIFICADO
González González, José AlbertoNO ESPECIFICADONO ESPECIFICADO
García Compeán, DiegoNO ESPECIFICADONO ESPECIFICADO
Maldonado Garza, Héctor JesúsNO ESPECIFICADONO ESPECIFICADO
Garza Galindo, Aldo AzaelNO ESPECIFICADONO ESPECIFICADO
Fecha del depósito: 30 Jun 2022 20:36
Última modificación: 13 Nov 2022 01:14
URI: http://eprints.uanl.mx/id/eprint/23510

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