Journal ArticleDOI
Risk factors for mortality after surgery in patients with cirrhosis.
Swee H. Teh,David M. Nagorney,Susanna R. Stevens,Kenneth P. Offord,Terry M. Therneau,David J. Plevak,Jayant A. Talwalkar,W. Ray Kim,Patrick S. Kamath +8 more
TLDR
MELD score, age, and American Society of Anesthesiologists class can quantify the risk of mortality postoperatively in patients with cirrhosis, independently of the procedure performed and can be used in determining operative mortality risk and whether elective surgical procedures can be delayed until after liver transplantation.About:
This article is published in Gastroenterology.The article was published on 2007-04-01. It has received 438 citations till now. The article focuses on the topics: Risk of mortality & Model for End-Stage Liver Disease.read more
Citations
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Journal ArticleDOI
The model for end-stage liver disease (MELD)
Patrick S. Kamath,W. Ray Kim +1 more
TL;DR: The Model for End‐stage Liver Disease was initially created to predict survival in patients with complications of portal hypertension undergoing elective placement of transjugular intrahepatic portosystemic shunts and was validated subsequently as an accurate predictor of survival among different populations of patients with advanced liver disease.
Journal ArticleDOI
The 2013 International Society for Heart and Lung Transplantation Guidelines for mechanical circulatory support: executive summary.
David S. Feldman,Salpy V. Pamboukian,Jeffrey J. Teuteberg,Emma J. Birks,Katherine Lietz,Stephanie A. Moore,Jeffrey A. Morgan,Francisco A. Arabia,Mary E. Bauman,Hoger W. Buchholz,Mario Eng,Marc L. Dickstein,Aly El-Banayosy,Tonya Elliot,Daniel J. Goldstein,Kathleen L. Grady,Kylie Jones,K. Hryniewicz,Ranjit John,Annemarie Kaan,Shimon Kusne,Matthias Loebe,M. Patricia Massicotte,Nader Moazami,Paul Mohacsi,Martha L. Mooney,Thomas A. Nelson,Francis D. Pagani,William C. Perry,Evgenij V. Potapov,J. Eduardo Rame,Stuart D. Russell,Erik N. Sorensen,Benjamin Sun,Martin Strueber,Abeel A. Mangi,Michael Petty,Joseph G. Rogers,Amanda W. Rowe +38 more
TL;DR: Institutional Affiliations Co-chairs Feldman D: Minneapolis Heart Institute, Minneapolis, Minnesota, Georgia Institute of Technology and Morehouse School of Medicine, and Pamboukian SV: University of Alabama at Birmingham, Birmingham, Alabama, Teuteberg JJ:University of Pittsburgh, Pittsburgh, Pennsylvania Task force chairs.
Journal ArticleDOI
Acute-on chronic liver failure
Rajiv Jalan,Pere Ginès,Jody C. Olson,Rajeshwar P. Mookerjee,Richard Moreau,Guadalupe Garcia-Tsao,Vicente Arroyo,Patrick S. Kamath +7 more
TL;DR: In this paper, the authors focus on the current understanding of acute-on-chronic liver failure from the clinical, prognostic and pathophysiological perspectives and indicate potential biomarkers and therapeutic targets for intervention.
Journal ArticleDOI
Treatment of Patients with Cirrhosis.
Phillip S. Ge,Bruce A. Runyon +1 more
TL;DR: This guide to the practical treatment of patients with cirrhosis summarizes recent developments and includes advice on medical management, invasive procedures, nutrition, prevention, and strategies to protect the cirrhotic liver from harm.
Journal ArticleDOI
Toward an Improved Definition of Acute-on-Chronic Liver Failure
Rajiv Jalan,Cihan Yurdaydin,Jasmohan S. Bajaj,Subrat K. Acharya,Vicente Arroyo,Han Chieh Lin,Pere Ginès,W. Ray Kim,Patrick S. Kamath +8 more
TL;DR: A perspective serves to resolve some of issues and outline an approach to better define acuteon-chronic liver failure (ACLF), which has resulted in confusion rather than clarification of the problem.
References
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Journal ArticleDOI
Short-term prognosis in critically ill patients with cirrhosis assessed by prognostic scoring systems.
TL;DR: The Sequential Organ Failure Assessment (SOFA) is an easily applied tool with excellent prognostic abilities and can be used to enhance clinical judgment of prognosis as well as providing patients and families with objective information.
Journal ArticleDOI
Predicting outcome after cardiac surgery in patients with cirrhosis: a comparison of Child-Pugh and MELD scores
Amitabh Suman,David S. Barnes,Nizar N. Zein,Gavin Levinthal,Jason T. Connor,William D. Carey +5 more
TL;DR: Child-Pugh score and/or class and MELD score are significantly associated with hepatic decompensation and mortality after cardiac surgery using cardiopulmonary bypass in patients with cirrhosis.
Journal ArticleDOI
The safety of intra-abdominal surgery in patients with cirrhosis: model for end-stage liver disease score is superior to Child-Turcotte-Pugh classification in predicting outcome.
Alex S. Befeler,Dean E. Palmer,Martin Hoffman,Walter E. Longo,Harvey Solomon,Adrian M. Di Bisceglie +5 more
TL;DR: A MELD score of 14 or greater was a better clinical predictor of poor outcome than Child-Turcotte-Pugh class C and patients with cirrhosis with hemoglobin levels lower than 10 g/dL should receive corrective blood transfusions before abdominal surgery.
Journal ArticleDOI
Hepatic Resection of Hepatocellular Carcinoma in Patients With Cirrhosis: Model of End-Stage Liver Disease (MELD) Score Predicts Perioperative Mortality
Swee H. Teh,John D. Christein,John H. Donohue,Florencia G. Que,Michael L. Kendrick,Michael B. Farnell,Stephen S. Cha,Patrick S. Kamath,Ray Kim,David M. Nagorney +9 more
TL;DR: MELD score was a strong predictor of both perioperative mortality and long-term survival in patients with cirrhosis undergoing hepatic resection for HCC and other treatment modalities should be considered.
Journal ArticleDOI
Clinical outcome after cardiac operations in patients with cirrhosis.
Nobuhiko Hayashida,Takahiro Shoujima,Hideki Teshima,Yoshinori Yokokura,Kazuyoshi Takagi,Hiroshi Tomoeda,Shigeaki Aoyagi +6 more
TL;DR: Although the incidence of major complications was high, patients with Child-Pugh class A Cirrhosis tolerated cardiac surgery satisfactorily and coronary artery bypass grafting without cardiopulmonary bypass can be an alternative therapeutic strategy for patients with advanced cirrhosis requiring surgical revascularization.