Comparison and Improvement of MELD and Child-Pugh Score Accuracies for the Prediction of 6-month Mortality in Cirrhotic Patients

Abstract

Child-Pugh score remains a simple and effective tool for the prognostic assessment of cirrhotic patients at bedside and can still be used in clinical practice. MELD, and especially MELD-Na, should be reserved for patients with decompensated cirrhosis.

MR relaxometry of the liver: significant elevation of T1 relaxation time in patients with liver cirrhosis

“…Although the ChildPugh classification has been proven to correctly assess disease stages as well as prognosis and has fulfilled its clinical role to date [34,35], the assumption of this study is that disease progression into higher Child-Pugh classes also reflects progressive parenchymal changes. Although the time interval between laboratory data and MR relaxometry could be shorter, liver cirrhosis is a slowly progressing disease, and none of the patients exhibited rapid deterioration during the study.…”

The Nutritional Index 'CONUT' Is Useful for Predicting Long-Term Prognosis of Patients with End-Stage Liver Diseases

“…More recently, MELD plus sodium scoring (MELD-Na) was developed for its superiority to MELD for the prediction of 3-month mortality (Ruf et al 2005). Thus, Child-Turcotte-Pugh (CTP) scoring, MELD and MELD-Na have been comparable for predicting the 6-month mortality of patients with ELD (Boursier et al 2009). …”

Evaluación comparativa entre MELD y Child-Pugh como escalas pronósticas de sobrevida en pacientes con cirrosis hepática en Chile

“…Existen numerosas publicaciones en la literatura que han intentado establecer la superioridad de MELD sobre la escala de CP, sin embargo, hasta la fecha no existe claridad sobre cuál podría ser el mejor método para determinar el pronóstico de la enfermedad [22][23][24][25][26][27][28][29] . La clasificación de CP considera cinco variables estableciendo 3 categorías (A, B y C) en la cual A es la más leve y C la más grave.…”