Orthotopic Liver Transplantation in Critically Ill Cirrhotic Patients With Multi-Organ Failure: A Single-Center Experience

2011 ◽  
Vol 43 (10) ◽  
pp. 3762-3768 ◽  
Author(s):  
A. Umgelter ◽  
K. Lange ◽  
A. Kornberg ◽  
P. Büchler ◽  
H. Friess ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Organ Failure ◽  
Critically Ill ◽  
Orthotopic Liver Transplantation ◽  
Single Center ◽  
Single Center Experience ◽  
Multi Organ Failure ◽  
Cirrhotic Patients

scholarly journals The use of MELD scores in critically ill cirrhotic patients

2016 ◽  
Vol 4 (16) ◽  
pp. 45
Author(s):  
Supannee Rassameehiran ◽  
Tinsay Woreta
Keyword(s):  
Liver Transplantation ◽  
Liver Disease ◽  
Hospital Mortality ◽  
Organ Failure ◽  
Critically Ill ◽  
Meld Score ◽  
Chronic Liver Failure ◽  
End Stage Liver Disease ◽  
Cirrhotic Patients ◽  
End Stage

The Model for End-Stage Liver Disease (MELD) was originally created to predict survival following transjugular intrahepatic portosystemic shunt and was subsequently found to accurately predict mortality in patients with end-stage liver disease. It has been used in the United States for liver allocation since 2002, and implementation of the MELD score resulted in a reduction in total number of deaths on the waitlist and a reduction in waiting time. Critically ill cirrhotic patients have an in-hospital mortality greater than 50%. Although the MELD score was also found to be an accurate predictor of in-ICU mortality and in-hospital mortality after ICU admission in critically ill cirrhotic patients, the Sequential Organ Failure Assessment (SOFA) score appears to perform better in many studies. The Chronic Liver Failure Consortium Acute-on-Chronic Liver Failure (CLIF-C ACLF) score was later developed by using specific cut-points for each organ failure score system in CLIF patients to predict mortality in patients with ACLF. Neither the MELD nor SOFA score independently predicts post-liver transplantation mortality in cirrhotic patients with extrahepatic organ failure and should not be use as a delisting criterion for these patients. More data are needed to determine the accuracy of the CLIF-C ACLF score in predicting post-liver transplantation outcomes. Prospective evaluation of critically ill cirrhotic patients is needed to optimize liver organ allocation.

Orthotopic Liver Transplantation for Hepatocellular Carcinoma: A Thirteen-Year Single-Center Experience

2008 ◽  
Vol 40 (9) ◽  
pp. 2975-2977 ◽  
Author(s):  
J.F. Castroagudín ◽  
E. Molina ◽  
M. Bustamante ◽  
S. Tomé ◽  
E. Otero ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Single Center ◽  
Single Center Experience

MELD scores with incorporation of serum sodium and death prediction in cirrhotic patients on the waiting list for liver transplantation: a single center experience in southern Brazil

2012 ◽  
Vol 26 (4) ◽  
pp. E395-E401 ◽  
Author(s):  
Caroline Possa Marroni ◽  
Ajácio Bandeira de Mello Brandão ◽  
Alexandre Wahl Hennigen ◽  
Claudio Marroni ◽  
Maria Lúcia Zanotelli ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Serum Sodium ◽  
Waiting List ◽  
Southern Brazil ◽  
Single Center ◽  
Single Center Experience ◽  
Cirrhotic Patients
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