Zielsdorf SM, Kubasiak JC, Janssen I, Myers JA, Luu MB (2015) A NSQIP analysis of MELD and perioperative outcomes in general surgery. Neeff H, Mariaskin D, Spangenberg HC, Hopt UT, Makowiec F (2011) Perioperative mortality after non-hepatic general surgery in patients with liver cirrhosis: an analysis of 138 operations in the 2000s using child and MELD scores. Meunier K, Mucci S, Quentin V, Azoulay R, Arnaud JP, Hamy A (2008) Colorectal surgery in cirrhotic patients: assessment of operative morbidity and mortality. Gisbert JP, Luna M, González-Lama Y, Pousa ID, Velasco M, Moreno-Otero R, Maté J (2007) Liver injury in inflammatory bowel disease: long-term follow-up study of 786 patients. Analysis of operative liver biopsy in 138 consecutive patients having colectomy. Aliment Pharmacol Ther 40:3–15Įade MN (1970) Liver disease in ulcerative colitis. Gizard E, Ford AC, Bronowicki JP, Peyrin-Biroulet L (2014) Systematic review: the epidemiology of the hepatobiliary manifestations in patients with inflammatory bowel disease. Navaneethan U, Shen B (2010) Hepatopancreatobiliary manifestations and complications associated with inflammatory bowel disease. MELD score > 11 was an independent indicator for post-operative bleeding, and overall complications and mortality. UC patients with a higher MELD score were associated with a higher post-colectomy morbidity and mortality. Apart from the MELD score, the presence of ascites (OR 2.5, 95%CI 1.2–5.1) or varices (OR 1.0, 95%CI 1.01–1.03) was also significantly associated with post-operative bleeding complication. Patients with a MELD score 12–15 (odds ratio 1.9, 95% confidence interval 1.1–1.3) and MELD > 15 (OR 2.6, 95%CI 1.5–4.7) were at significant risk for bleeding complication. Patients were stratified into 4 groups by MELD score: 15 and a stratified multivariate analysis was done. Patients with a higher MELD score had a longer hospital stay more bleeding and cardiac, respiratory, renal, thromboembolic, and septic complications as well as mortality. ResultsĪ total of 7534 UC patients undergoing colectomy were identified. The primary outcomes were bleeding complications, and overall morbidity and mortality. Patients with ulcerative colitis (UC) (ICD: 556.X) who underwent colectomy were identified from NSQIP 2005 to 2013. The aim of this study was to investigate the relationship between preoperative MELD score and 30-day surgical outcomes using the American College of Surgeons National Surgical Quality Improvement Program. Model of End-Stage Liver Disease (MELD) score was developed to predict mortality in patients with liver disease.
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