A COMPARISON OF PREDICTIVE VALUE OF MODEL FOR END STAGE LIVER DISEASE AND CHILD-TURCOTTE-PUGH FOR VARICEAL BLEEDING.

Risk factors for r ebleeding following acute variceal haemorrhage are incompletely understood. The aim of this study was to determine the predictor validity of model for end stage liver disease (MELD) score and Child-Turcotte-Pugh (CTP) in acute variceal bleeding and rebleeding.

Method : The study included 92 cirrhotic patients of Imam Khomeini hospital. The predictive capability of CTP and MELD score were compared.

Results : The mean MELD score in 39 patients with variceal bleeding was 18.7±7.2, and in 59 patients without bleeding was 14.9±9.8 (P=0.014). The mean CTP score in 39 patients with variceal bleeding was 9.05±1.6, and in 59 patients without bleeding was 8.5± 1.5 (p>0.05).

Conclusion : MELD was significantly better than CTP score for predicting in hospital bleeding.

MELD and CTP were not efficacious scores for predicting variceal rebleeding.