In this single center cohort of 267 patients with acute variceal bleeding, researchers derived and validated a simple risk model to determine the 6-week risk of death. They found 3 parameters (Child-Pugh score, bacterial infection, and creatinine level) predicted 6 week death more accurately than either the Child-Pugh score alone, or the MELD score. Those at the lowest and highest risk groups had mortality rates of 8% and 73% respectively. This easy to calculate risk score can be valuable in predicting short-term risk in variceal bleeding (abstract).
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April 4, 2010 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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