An International Publisher for Academic and Scientific Journals
Author Login 
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 | 102 66
DOI: 10.36347/sasjs
Pages: 266-277
Downloads
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.