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Modified model for end stage liver disease score accurately predicts death or liver transplantation in acute flares of chronic hepatitis B

Title: Modified model for end stage liver disease score accurately predicts death or liver transplantation in acute flares of chronic hepatitis B
Authors: Fung, J; Lam, F; Chok, KSH; Seto, WK; Wong, T; Chan, A; Chan, SC; Lai, CL; Lo, CM; Yuen, MF
Publisher Information: //www.elsevier.com/locate/jhep; The Netherlands
Publication Year: 2015
Collection: University of Hong Kong: HKU Scholars Hub
Subject Terms: Medical sciences; Gastroenterology
Description: BACKGROUND AND AIMS: For patients chronically infected with hepatitis B virus, acute flares of chronic hepatitis B (AFOCHB) can be severe and fatal. The decision on whether to transplant or not is often a difficult one. The current study aims to determine the predictive value of short-term outcomes using the MELD score and its modified counterpart in AFOCHB patients. METHODS: Patients admitted with AFOCHB with ALT >5× upper limit of normal and HBVDNA of at least 4 logs IU/mL were included. Laboratory data was collected at the time of admission, at day 7, and at day 14. The MELD-ALT-Platelet (MAP) score was derived by additional points to the MELD score according to the ALT level (+1, +2, and +4 points for ALT ≤2000, 2000–3000, and >3000 respectively) and platelet level (+1, +2, +3, and +7 points for platelets ≥150, 100 to
Document Type: conference object
Language: English
Relation: Journal of Hepatology; S537, abstract no. P0590; 248019; WOS:000362830600307; suppl. 2; https://hub.hku.hk/handle/10722/214868; 62
DOI: 10.1016/S0168-8278(15)30796-0
Availability: https://hub.hku.hk/handle/10722/214868; https://doi.org/10.1016/S0168-8278(15)30796-0
Accession Number: edsbas.27BAAC8B
Database: BASE