تعیین ارزش پیش آگهی معیار بالینی MELD و CTP در خون‌ریزی از واریس مری در بیماران سیروتیک بستری شده در بخش گوارش بیمارستان امام خمینی ارومیه در سال‌های 87-88

  Background & Aims : Risk factors for r ebleeding following acute variceal haemorrhage are incompletely understood. The aim of this study was to determine the predictor validity of model for end stage liver disease (MELD) score and Child-Turcotte-Pugh (CTP) in acute variceal bleeding and rebleeding.   Method : The study included 92 cirrhotic patients of Imam Khomeini hospital. The predictive capability of CTP and MELD score were compared.   Results : The mean MELD score in 39 patients with variceal bleeding was 18.7±7.2, and in 59 patients without bleeding was 14.9±9.8 (P=0.014). The mean CTP score in 39 patients with variceal bleeding was 9.05±1.6, and in 59 patients without bleeding was 8.5± 1.5 (p>0.05).   Conclusion : MELD was significantly better than CTP score for predicting in hospital bleeding.   MELD and CTP were not efficacious scores for predicting variceal rebleeding.     Source: Urmia Med J 2011: 22(5): 491 ISSN: 1027-3727