الفهرس 
: Liver cirrhosisOnly 14 pages are availabe for public view
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Abstract
: Objective: To evaluate the MELD scoring system compared to the CTP score as a predictor of 30-day mortality in patients with liver cirrhosis undergoing non-hepatic surgery under general anesthesia.
Study design: A case-control randomized study.
. Study setting: The study was conducted at Ain Shams University Surgery Hospital.
. Patients: The study was conducted on 80 patients undergoing non-hepatic surgeries such as appendectomy, hernioplasty, cholecystectomy, … etc. under general anesthesia. Patients divided into two groups as follow:
group A: 60 patients with liver cirrhosis (diagnosed on the basis of clinical, biochemical and radiological criteria).
group B: Control group of 20 patients undergoing surgical procedures without any clinical, biochemical or radiologic evidence of liver disease.
Results: Significant prediction of mortality with the increase in MELD score in logistic regression model was detected (14% higher increase in relative risk of mortality with each increase in score of MELD).
• . Conclusion: MELD scoring system is more reliable than Child- Turcotte- Pugh scoring system as a predictor of post-operative mortality in patients with liver cirrhosis undergoing non-hepatic surgeries.