![]() ![]() 3.4%, p=0.824).ĬONCLUSIONS: Results of this study suggest that liver transplant recipients with portal vein thrombosis at transplantation should be transplanted before reaching a MELD score ≥30. Brought to you by Merck & Co, Inc. Adapted from Wiesner R, Edwards E, Freeman R, et al: Model for end-stage liver disease (MELD) and allocation of donor livers. The C-statistic for 90-day mortality of MELD 3.0 was 0.8693, and that of MELDNa was 0.8622 (the method of Harrell et al. Adult patients awaiting liver transplantation. MELD score is better than Child-Pugh score in predicting 3-month survival of patients undergoing. Portal vein thrombosis at transplantation was significantly associated with 90-day mortality after transplantation in patients with MELD scores ≥30 (p=0.041), but this was not the case for patients with MELD scores <30, although portal vein thrombosis was equally frequent in individuals of both groups (3.0% vs. In the validation set, the median MELD 3.0 score was 19 (IQR, 1326), with 3.4 of subjects having scores of >40.RESULTS: MELD score ≥30 (n=117 26.1%) was an independent risk factor for 90-day mortality (p=0.004, odds ratio: 3.045, 95% CI 1.439–6.498) and long-term mortality (p=0.016, hazard ratio: 1.620, 95% CI 1.095–2.396) and was associated with significantly longer hospital and intensive care unit stays (p<0.001), and death occurred in more cases earlier after transplantation (90-day mortality 21.6% vs. Multivariable risk-adjusted models were applied to identify independent risk factors for 90-day and long-term mortality. Table 3 shows mortality categorized according to MELD and MELD-Na scores at 30 days and 90 days. MATERIAL AND METHODS: This study compares relevant outcome parameters in patients with high MELD ≥30 versus lower MELD scores in a retrospective analysis including 454 consecutively performed liver transplantations in adults (age >16 years) at Hannover Medical School between and and a follow-up until. The MELD-Na score was calculated as MELD score +1.32 × (137 serum Na) (0.33 × MELD score × 137 serum Na).6,11 Data also were collected on readmission for hepatic encephalopathy within 30 days after TIPS. 3-Month Mortality Based on MELD ScoresMELD ScoreMortality Probabilit圓0-3952.6 mortality20-2919.6 mortality10-196.0 mortality9 or less1. BACKGROUND: After introduction of MELD-based allocation in Germany, decreased waiting list mortality and increased mortality after transplantation have been reported. ![]()
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