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MELD-E (MELD-Encephalopathy) Score of Rout et al

Description

Rout et al reported the MELD-E score for patients with cirrhosis and bleeding esophageal varices. This can help to identify a patient who may benefit from more aggressive management. The authors are from the All India Institute of Medical Sciences in New Delhi.


Patient selection: cirrhosis with bleeding esophageal varices

 

Outcome: 6-weeks mortality

 

Parameters:

(1) MELD score

(2) encephalopathy (0 if absent, 1 if present)

 

MELD-E score =

= (0.1 * (MELD)) + (1.539 * (points for encephalopathy)) - 3.472

 

Interpretation:

• minimum score: -3.472

• maximum score: dependent on MELD score, > 0.5

• The higher the score the greater the mortality rate.

• A score > -1.5 is associated with high risk.

 

Parameter

Finding

< -2.5

7%

-2.5 to -2

7.5%

-2 to -1.5

14%

-1.5 to -1.0

30%

-1.0 to -0.5

33%

-0.5 to 0

59%

0 to 0.5

61%

> 0.5

73%

 

Performance:

• The area under the ROC curve is 0.79.


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