Journal of Hepatology
Volume 50, Issue 4 , Pages 836-838 , April 2009

MELD–Na as a prognostic score for cirrhotic patients: Hyponatremia and ascites are back in the game

  • Didier Samuel

      Affiliations

    • Corresponding Author InformationAddress: Centre Hepato-Biliaire, Hôpital Paul Brousse, 94800 Villejuif, France. Tel.: +33 1 45 59 34 03; fax: +33 1 45 59 38 57.

References 

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  3. Wiesner RH, Edwards EB, Freeman RB, Harper A, Kim R, Kamath P, et al. Model for end-stage liver disease (MELD) and allocation of donor livers. Gastroenterology. 2003;124:91–96
  4. Freeman RB, Wiesner RH, Edwards E, Harper E, Harper A, Merion R, et al. Results of the first year of the new liver allocation plan. Liver Transpl. 2004;10:7–15
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  8. Biggins SW, Kim WR, Terrault NA, Saab S, Balan V, Schiano T, et al. Evidence based incorporation of serum sodium concentration into MELD. Gastroenterology. 2006;130:1652–1660
  9. Heuman DM, Abou-Assi SG, Habib A, Williams LM, Stravitz RT, Sanyal AJ, et al. Persistent ascites and low serum sodium identify patients with cirrhosis and low MELD scores who are high risk for early death. Hepatology. 2004;40:802–810
  10. Ruf AE, Kremers WK, Chavez LL, Descalzi VI, Podesta LG, Villamil FG. Addition of serum sodium into the MELD score predicts waiting list mortality better than MELD alone. Liver Transpl. 2005;11:336–343
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  12. Kim R, Biggins SW, Kremers WK, Wiesner RH, Kamath PS, Benson JT, et al. Hyponatremia and mortality among patients on the liver transplant waiting list. New Engl J Med. 2008;359:1018–1026

☆ The author declares that he does not have anything to disclose regarding funding from industries or conflict of interest with respect to this manuscript.

PII: S0168-8278(08)00867-2

doi: 10.1016/j.jhep.2008.12.015

Journal of Hepatology
Volume 50, Issue 4 , Pages 836-838 , April 2009

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