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Prognosis after liver transplantation predicted by preoperative MELD score.

Abstract：

:The model for end-stage liver disease (MELD) has been an excellent predictor of 3-month mortality among cirrhotic patients awaiting orthotopic liver transplantation (OLT). The aim of this study was to evaluate whether the preoperative MELD score predicts short-term prognosis after OLT. We enrolled 98 adult liver transplant patients performed at our center from January 2001 to December 2002. In univariate analysis of risk factors for death within 3 and 6 months after liver transplantation, serum total bilirubin, creatinine, MELD score, hyponatremia with ascites, Child-Turcotte-Pugh (CTP) score were statistically significant parameters (P < .05). By logistic regression, none of the risk factors were subjected to multivariate analysis showed statistical significance. The odds ratios of the MELD score, hyponatremia with ascites, CTP score within 3 months were 0.997, 1.151, and 0.726 with 95% confidence intervals of [0.899, 1.105], [0.102, 12.959], and [0.389, 1.352], respectively. The odds ratio of MELD score, hyponatremia with ascites, CTP score within 6 months were 0.996, 0.914, and 0.764, with 95% confidence intervals of [0.901, 1.102], [0.089, 9.369], and [0.417, 1.401], respectively. Although MELD score has been a good predictor of short-term prognosis before OLT, MELD did not show an influence on the short-term prognosis after liver transplantation in this study.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Kim DJ,Lee SK,Jo JW,Kim SJ,Kwon CH,Park JW,Han YS,Park JB

doi

10.1016/j.transproceed.2006.06.031

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

2095-6

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(06)00649-X

journal_volume

38

pub_type

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