MELD is superior to MELD-Na for predicting 30-day and, perhaps, 90-day mortality after TIPS placement. MELD and MELD-Na both accurately predicted the length of hospital stay after TIPS placement ( p = 0.005 and p = 0.01, respectively).ĬONCLUSION. When the maximal inflection point for MELD and MELD-Na was analyzed on the basis of 90-day mortality, a score of 23 was found to be most significant for both MELD (OR, 6.6 95% CI, 1.5–29.1 p = 0.01) and MELD-Na (OR, 3.3 95% CI, 1.1–9.6 p = 0.03). In a comparison of the ROC AUCs for MELD and MELD-Na, MELD showed improved prediction of 30-day mortality ( p = 0.06) but did not significantly vary in prediction of 90- and 365-day mortality ( p = 0.80 and p = 0.76, respectively). The primary outcomes were death within 30 days and 90 days after TIPS placement (30- and 90-day mortality, respectively), and secondary outcomes included death within 365 days after TIPS placement (365-day mortality), length of hospital stay, and readmission to the hospital within 30 days of TIPS placement. Two hundred and nineteen consecutive patients who underwent TIPS placement were retrospectively reviewed. The purpose of this study was to compare the ability of the model for end-stage liver disease (MELD) and sodium MELD (MELD-Na) scoring systems to predict outcomes after transjugular intrahepatic portosystemic shunt (TIPS) placement.
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