Prognosis after TIPSS using MELD Score


Model for End-Stage Liver Disease (MELD) is a numerical score based on a patient’s risk of dying while waiting for a liver transplant; mortality at 90 days for alcoholic hepatitis can also be used to guide in treatment decisions in patients with alcoholic hepatitis, especially if complicated by ascites and/or encephalopathy. The maximum serum creatinine considered within the MELD score is 350 µmol/L; if a patient has had dialysis more than twice in the past week or has a Cr > 350 µmol/L, then the maximum value will be entered.

A MELD score of >18 is considered high risk. Patients with a MELD score of >14 had a median survival of <90 days with insertion of TIPSS.

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1. Creatinine?

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