Preoperative hepatic dysfunction could predict postoperative mortality and morbidity in patients undergoing cardiac surgery: Utilization of the MELD scoring system
作者： Mai Murata , Tomoko S. Kato , Kenji Kuwaki , Taira Yamamoto , Shizuyuki Dohi
DOI: 10.1016/J.IJCARD.2015.10.181
关键词:
摘要: Abstract Background According to recent advances in operative techniques, an increasing number of patients with liver dysfunction have been subjected cardiac surgery. Model End-Stage Liver Disease (MELD and MELD-XI) scores allow risk stratification undergoing non-cardiac surgeries. Methods We retrospectively analyzed 1856 consecutive (69.3% male, mean 66.8±12.2years) surgery between 2008 2013 at our institution. Results The values MELD/MELD-XI obtained from the total cohort were 9.7±4.6/11.9±4.8. Patients high (>12) older, more anemic, had lower left ventricular ejection fraction than those low (all p Conclusions Assessment using MELD can be useful for predicting postoperative morbidity mortality, which may additional
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