![]() Yoo HY, Edwin D, Thuluvath PJ (2003) Relationship of the model for End-Stage Liver Disease (MELD) scale to hepatic encephalopathy, as defined by electroencephalography and neuropsychometric testing, and ascites. González Martínez S, Molina Raya A, Becerra Massare A et al (2018) Liver transplantation in recipients with high model for end-stage liver disease score. Liou IW (2014) Management of end-stage liver disease. īilimoria KY, Liu Y, Paruch JL et al (2013) Development and evaluation of the universal ACS NSQIP surgical risk calculator: a decision aid and informed consent tool for patients and surgeons. Subramaniam S, Aalberg JJ, Soriano RP, Divino CM (2018) New 5-factor modified frailty index using american college of surgeons NSQIP data. Post-operative Mortality Risk in Patients with Cirrhosis. Northup PG, Wanamaker RC, Lee VD, Adams RB, Berg CL (2005) Model for End-Stage Liver Disease (MELD) predicts nontransplant surgical mortality in patients with cirrhosis. Teh SH, Nagorney DM, Stevens SR et al (2007) Risk factors for mortality after surgery in patients with cirrhosis. įleming MM, DeWane MP, Luo J, Zhang Y, Pei KY (2018) Ascites: A marker for increased surgical risk unaccounted for by the model for end-stage liver disease (MELD) score for general surgical procedures. Licari L, Salamone G, Ciolino G et al (2018) The abdominal wall incisional hernia repair in cirrhotic patients. However, if the patient is missing one of the 21 input variables required by this calculator, Mayo Clinic’s 30-day mortality calculator should be consulted before the more widely used MELD score. ![]() The NSQIP Surgical Risk Calculator more accurately predicts 30-day mortality in patients with ascites undergoing hernia repair. Receiver operating characteristic (ROC) curve analysis of the 4 mortality risk calculators resulted in the following: NSQIP Surgical Risk Calculator = 0.803 ( p < 0.001) “Post-operative Mortality Risk in Patients with Cirrhosis” with an etiology of “Alcoholic or Cholestatic” yielded an AUC = 0.722 ( p < 0.001) MELD score yielded an AUC = 0.709 ( p < 0.001) and the modified 5-item frailty index yielded an AUC = 0.583 ( p = 0.04). In total, 1368 patients met inclusion criteria. Mayo Clinic’s “Post-operative Mortality Risk in Patients with Cirrhosis” risk calculator, Model for End-Stage Liver Disease (MELD) calculator, NSQIP’s Surgical Risk Calculator, and a surgical 5-item modified frailty index were assessed to determine whether they accurately predict mortality following abdominal hernia repair. The American College of Surgeons National Surgery Quality Improvement Program (NSQIP) 2013–2021 datasets were queried for patients who underwent hernia repair surgery. This study seeks to evaluate the accuracy of these risk calculators on patients with cirrhosis and identify the most suitable population of patient to use these calculators on. ![]() Several risk calculators have been developed and deployed to help surgeons estimate the mortality risk that comes with performing hernia repair surgery on patient with severe liver disease.
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