Cited 13 times in
MELD-based indices as predictors of mortality in chronic liver disease patients who undergo emergency surgery with general anesthesia
DC Field | Value | Language |
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dc.contributor.author | 김도영 | - |
dc.contributor.author | 김성훈 | - |
dc.contributor.author | 이재길 | - |
dc.contributor.author | 최기홍 | - |
dc.contributor.author | 최진섭 | - |
dc.contributor.author | 김경식 | - |
dc.date.accessioned | 2014-12-20T17:24:59Z | - |
dc.date.available | 2014-12-20T17:24:59Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 1091-255X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/94561 | - |
dc.description.abstract | BACKGROUND: Underlying chronic liver disease is associated with high morbidity and mortality after emergency surgery, which complicates clinical decisions over performing such surgery. In addition, the Child-Turcotte-Pugh (CTP) score is limited in its ability to predict postoperative residual liver function. This study was designed to determine whether the scores of the Model for End-stage Liver Disease (MELD)-based indices are effective predictors of mortality following emergency surgery in patients with chronic liver disease. METHOD: Medical records of 53 chronic liver disease patients who underwent emergency surgery under general anesthesia from 2001 to 2008 were analyzed retrospectively. RESULTS: Median preoperative CTP score was 6 (5-12); MELD, 11 (6-33); MELD-Na, 15 (7-34); integrated MELD (iMELD), 33 (14-64); and MELD to sodium ratio, 8 (4-24). During a median 11-month follow-up period, 19 (35.8%) patients died. Five of them (26.3%) had operative mortality (i.e., mortality within 30 days after surgery). On multivariate analysis, CTP class C was correlated with operative mortality, and estimated blood loss above 300 ml and the iMELD score above 35 were significantly correlated with overall mortality. CONCLUSIONS: iMELD reflects underlying liver function and predicts overall mortality more accurately than CTP and other MELD-based indices scores do in chronic liver disease patients after emergency surgery with general anesthesia. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2029~2035 | - |
dc.relation.isPartOf | JOURNAL OF GASTROINTESTINAL SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Anesthesia, General/adverse effects | - |
dc.subject.MESH | Area Under Curve | - |
dc.subject.MESH | Blood Loss, Surgical* | - |
dc.subject.MESH | Blood Volume | - |
dc.subject.MESH | Chronic Disease | - |
dc.subject.MESH | Emergency Treatment/mortality* | - |
dc.subject.MESH | End Stage Liver Disease/physiopathology | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Length of Stay | - |
dc.subject.MESH | Liver Diseases/complications | - |
dc.subject.MESH | Liver Diseases/mortality* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Multivariate Analysis | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Proportional Hazards Models | - |
dc.subject.MESH | ROC Curve | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Severity of Illness Index | - |
dc.subject.MESH | Surgical Procedures, Operative/mortality* | - |
dc.subject.MESH | Young Adult | - |
dc.title | MELD-based indices as predictors of mortality in chronic liver disease patients who undergo emergency surgery with general anesthesia | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Sung Hoon Kim | - |
dc.contributor.googleauthor | Yoon Dae Han | - |
dc.contributor.googleauthor | Jae Gil Lee | - |
dc.contributor.googleauthor | Do Young Kim | - |
dc.contributor.googleauthor | Sae Byeol Choi | - |
dc.contributor.googleauthor | Gi Hong Choi | - |
dc.contributor.googleauthor | Jin Sub Choi | - |
dc.contributor.googleauthor | Kyung Sik Kim | - |
dc.identifier.doi | 10.1007/s11605-011-1669-5 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03070 | - |
dc.contributor.localId | A04046 | - |
dc.contributor.localId | A04199 | - |
dc.contributor.localId | A00299 | - |
dc.contributor.localId | A00597 | - |
dc.contributor.localId | A00385 | - |
dc.relation.journalcode | J01418 | - |
dc.identifier.eissn | 1873-4626 | - |
dc.identifier.pmid | 21913042 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs11605-011-1669-5 | - |
dc.subject.keyword | Chronic liver disease | - |
dc.subject.keyword | Emergency | - |
dc.subject.keyword | Surgery MELD-based indices | - |
dc.subject.keyword | CTP score | - |
dc.contributor.alternativeName | Kim, Do Young | - |
dc.contributor.alternativeName | Kim, Sung Hoon | - |
dc.contributor.alternativeName | Lee, Jae Gil | - |
dc.contributor.alternativeName | Choi, Gi Hong | - |
dc.contributor.alternativeName | Choi, Jin Sub | - |
dc.contributor.alternativeName | Kim, Kyung Sik | - |
dc.contributor.affiliatedAuthor | Lee, Jae Gil | - |
dc.contributor.affiliatedAuthor | Choi, Gi Hong | - |
dc.contributor.affiliatedAuthor | Choi, Jin Sub | - |
dc.contributor.affiliatedAuthor | Kim, Kyung Sik | - |
dc.contributor.affiliatedAuthor | Kim, Sung Hoon | - |
dc.contributor.affiliatedAuthor | Kim, Do Young | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 15 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 2029 | - |
dc.citation.endPage | 2035 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROINTESTINAL SURGERY, Vol.15(11) : 2029-2035, 2011 | - |
dc.identifier.rimsid | 27419 | - |
dc.type.rims | ART | - |
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