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Meld score mortality graph9/10/2023 ![]() ![]() To our knowledge, only three studies have examined the use of serial MELD scores in the ICU setting. ![]() 4- 6 Obtaining the MELD score on a daily basis may reflect the severity of the patient's clinical picture. Furthermore, the MELD score has appeal as a sequential predictor because its components, the serum creatinine, international normalized ratio (INR) and total bilirubin, fluctuate from day to day in ill patients. It is not uncommon to observe the score being obtained frequently as a prognostic tool in the ICU setting. The Model for End-Stage Liver Disease (MELD) is a measure of the severity of liver dysfunction that is well established among clinicians caring cirrhotic patients. 3 However, the conditions of critically ill patients may rapidly change, therefore the ideal predictors of outcomes should promptly reflect change in illness severity when measured on a daily or more frequent basis. Many prognostic scores obtained on the day of ICU admission - or initial scores - have been evaluated for predicting outcomes of cirrhotic patients. 2 Thus outcome prediction is crucial in assisting clinician's decision making as well as allocating limited medical resources. 1 Despite high hospital expense, cirrhotic patients have poor outcomes with a 3-fold increased risk of in-hospital mortality compared to non-cirrhotic patients. ![]() Approximately $3 billion is spent annually for 26,000 intensive care unit (ICU) admissions secondary to cirrhosis. ![]()
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