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SAS Journal of Surgery | Volume-2 | Issue-06
Serum Sodium Concentration Profile in Cirrhotic Patients and its Effect on the Prognostic Value of the MELD Score
Mostafa Soliman Elkady, Naglaa El-Toukhy Ramadan El-Toukhy, Sanaa El-sayed Ahmad Rashed
Published: Dec. 30, 2016 |
147
115
DOI: 10.36347/sasjs
Pages: 266-277
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Abstract
Serum sodium is common in cirrhotic patients and can predicts prognosis in cirrhosis and its addition to the
model for end-stage liver disease (MELD) score and may improve the prognostic accuracy. The aim of the present study
was to analyze the characteristics of serum sodium in decompensated cirrhosis and to assess the prognostic value of
serum sodium in the prediction of mortality at 3 and 6 months and to compare the prognostic ability of the model for
end-stage liver disease (MELD) score and other Na-containing MELD scores models for prediction of mortality. This
study was conducted on 200 patients with decompansated cirrhosis (child B & C),patients were divided into two groups
according to their serum sodium group(1)include patients with Na≤125,group(2) include patients with Na>125, Patients
were evaluated, and their medical and laboratory profiles were evaluated and the severity of liver disease was assessed
using Modified Child score ,and seven MELD scores models(MELD, MELD-Na, MELDNa, iMELD, uKELD, MESO
index, and uMELD, The outcome was assessed at the 3- and 6- month for prediction of mortality.