Adil Naseer Khan, Muhammad Arshad Abbasi, Rubina Rafique, Anam Altaf.
Comparison of MELD and CTP scores to predict mortality in patients with acute variceal bleeding.
Pak J Surg Jan ;35(1):36-40.

Objective:To determine the effectiveness of MELD score in predicting mortality in cirrhotic patients who presented with acute variceal bleeding to our unit Study design: Descriptive Cross sectional Place and Duration of study: Study was conducted at the department of Gastroenterology, Ayub Teaching Hospital, Abbottabad from August 2013 to April 2017. Material and Methods: Two hundred and seven cirrhotic patients who presented with acute variceal bleeding to the department of gastroenterology, Ayub Teaching Hospital, Abbottabad were enrolled in this study. The MELD and CTP scores were calculated at the time of admission and the patients were managed as per department protocols. Patients were followed up for a 4-week period and mortality in patients was recorded on a proforma. Results: Out of 207, 38 (18.4%) patients died during the study period. Hepatitis C (57; 27.5%), Hepatitis B (54; 26.1%), combined Hepatitis B and C infection (51; 24.6%) and other causes (45; 21.7%) were identified as the cause of CLD. Esophageal varices were the most frequent source of bleeding (77; 37.2%). Mean child pug scores were 10.47± 2.SD and mean MELD scores were 25.11±7.3 SD in patients underwent mortality (p=0.000). Conclusion: MELD score were found to be more effective as CTP score in predicting mortality following acute variceal bleeding in cirrhotic patients.

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