Model for End-stage Liver Disease (MELD) in predicting postoperative mortality of patients undergoing colorectal surgery.
Am Surg
; 79(4): 347-52, 2013 Apr.
Article
em En
| MEDLINE
| ID: mdl-23574842
ABSTRACT
The Model for End-stage Liver Disease (MELD) score was previously shown to predict perioperative mortality in patients with cirrhosis undergoing a variety of nontransplant surgical procedures. We sought to determine its usefulness in predicting postoperative mortality in patients undergoing colorectal procedures. National Surgical Quality Improvement Program data were gathered for adult patients undergoing elective and emergent colorectal procedures (Current Procedural Terminology codes 44005 through 45563 excluding appendectomy) during 2005 and 2006 at participating centers. The preoperative MELD score was calculated for all patients and assessed using logistic regression modeling. A total of 10,033 patients met study inclusion criteria. Overall 30-day mortality was 6.6 per cent. In all patients undergoing colorectal surgery, MELD was an independent predictor of mortality (2.95 [2.27 to 3.84]). Other independent predictors included age, functional status, American Society of Anesthesiologists classification, ascites, esophageal varices, disseminated cancer, chronic steroid use, cardiac disease, renal failure, malnutrition, sepsis, emergency, and ventilator dependence. The MELD score is an independent predictor of mortality in patients undergoing colorectal procedures. These data can be used to assign risk and assist in clinical decision-making.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
6_ODS3_enfermedades_notrasmisibles
Problema de saúde:
1_doencas_transmissiveis
/
6_digestive_diseases
Assunto principal:
Índice de Gravidade de Doença
/
Colectomia
/
Doença Hepática Terminal
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am Surg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos