Tei index is associated with survival in cirrhosis patients treated with transjugular intrahepatic portosystemic shunt.

ABSTRACT

BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPS) is the method of choice for the treatment of portal hypertension. The Tei index is the most sensitive indicator of myocardial function. DESIGN: This study enrolled 31 patients with cirrhosis who underwent TIPS and were followed up over a median period of 34 months (range 2-60 months). Baseline Meld score and the changes in the Tei index within 1 month after TIPS and their potential relationship with prognosis were evaluated. The primary endpoint was mortality. RESULTS: Thirteen patients (42%) died during follow-up. Survival analysis showed that the pre-TIPS Tei index (RR = -7.660, 95% confidence interval 0.000-0.069, P < 0.05) and the baseline MELD score > 10 (RR = 0.305,95% CI1.036-1.778, P < 0.05) were significantly associated with survival rate after TIPS. CONCLUSION: The Tei index before TIPS is associated with the survival of patients with cirrhosis after TIPS, and is potentially a predictive factor of mortality.