Model for End-stage Liver Disease (MELD) in spontaneous bacterial peritonitis –a clinical study at a tertiary health center in Nepal
Journal Title: Journal of Advances in Internal Medicine - Year 2013, Vol 2, Issue 4
Abstract
Background and Aims: The aim of this study was to assess the predictive value of different variables including the Model of End-stage Liver Disease (MELD) scores in hospitalized patients with spontaneous bacterial peritonitis (SBP) and its correlation with adverse outcomes. Methods: A cross-sectional study of 73 patients diagnosed with cirrhosis, ascites, and spontaneous bacterial peritonitis admitted to a gastroenterology department from February 2010 to November 2012. MELD scores were calculated using laboratory parameters and the United Network of Organ Sharing (UNOS) internet MELD tool. Results: Categorical variables and mortality status were analyzed for association by chi-square test. MELD scores and all-cause mortality were found to be positively correlated. Mortality was higher among the groups with MELD scores greater than 15. Upon stratification of the groups by mortality status, only age and urea level were novel and consistent predictors of mortality. Conclusions: In this Nepalese sample of cirrhotic patients, MELD scores along with age and urea level were confirmed as significant predictors of mortality.
Authors and Affiliations
Rahul Pathak*| Dept of Gastroenterology,Institute of Medicine, Maharajgunj, Kathmandu, Nepal, Kiran Niraula| M.Phil Epidemiology and Biostatistics,Institute of Medicine, Maharajgunj, Kathmandu, Nepal, Prem Krishna Khadga| Dept of Gastroenterology,Institute of Medicine, Maharajgunj, Kathmandu, Nepal, Kumar Vikram Singh| Dept of internal medicine,Institute of Medicine, Maharajgunj, Kathmandu, Nepal, Ishwar Sharma| Dept of internal medicine,Institute of Medicine, Maharajgunj, Kathmandu, Nepal
Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal
Background: Lower gastrointestinal bleeding (LGIB) is a common clinical condition associated with significant morbidity and mortality. The aims of our study were to determine the etiological profile, gender difference an...
A REVIEW FOR VISION TECHNOLOGY IN AGRICULTURE SECTOR
The first task to ensure quality in oil milling is to select a good quality Oil palm fresh fruit bunches (FFB) for processing which means the only right mature FFB should be harvested. Herewith the brief research carried...
Sedation Free Colonoscopy: Patients’ Characteristics and satisfaction in a hospital based Endoscopy Unit
Background and aims: Colonoscopy without sedation costs less and is more convenient than sedated colonoscopy and is the main mode of examination in our settings. The aims of the present study is to determine the percenta...
White Coat Hypertension, relationship of stages of hypertension with end organ damage and diurnal variation of blood pressure in newly diagnosed hypertensive patients
Introduction - Systemic hypertension is a disease attributable for various cardiovascular events. White coat hypertension is under diagnosed in Nepal and is usually treated as hypertension. However its prevalence in Nepa...
Psychiatric Illnesses among the Patients Admitted for Self-poisoning in a Tertiary Care Hospital of Nepal
Background and Aims- Self-poisoning is the commonest mode of suicide in our part of the world. Patients attempting suicide by self-poisoning usually land up in the Emergency. They are admitted for management of medical...