MELD score, age, and American Society of Anesthesiologists class can quantify the risk of mortality postoperatively in patients with cirrhosis, independently of the procedure performed. The relationship between MELD score and mortality persisted throughout the 20-year postoperative period. Conclusions: The MELD score predicts mortality in patients undergoing tricuspid valve surgery and offers a simple and effective method of risk stratification in these patients. Thirty-day mortality ranged from 5.7% (MELD score, 20). The MELD score predicted mortality (AUC 0.78) as well as the European System for Cardiac Operative Risk Evaluation logistic risk calculator (AUC 0.78, p 0.96). Emergency surgery was the only independent predictor of duration of hospitalization postoperatively. The Model to Estimate Survival In Ambulatory HCC Patients (MESIAH) Post-operative Mortality Risk in Patients with Cirrhosis. MELD Score and 90-Day Mortality Rate for Alcoholic Hepatitis. By multivariable analysis, only MELD score, American Society of Anesthesiologists class, and age predicted mortality at 30 and 90 days, 1 year, and long-term, independently of type or year of surgery. Probability of Mortality Following Transjugular Intrahepatic Portosystemic Shunts. Patients undergoing major surgery were at increased risk for mortality up to 90 days postoperatively. Univariate and multivariable proportional hazards analyses were used to determine the relationship between risk factors and mortality. Control groups of patients with cirrhosis included 303 undergoing minor surgical procedures and 562 ambulatory patients. Patients with cirrhosis (N = 772) who underwent major digestive (n = 586), orthopedic (n = 107), or cardiovascular (n = 79) surgery were studied. The aim of this study was to determine the risk factors for postoperative mortality in patients with cirrhosis. The utility of the Model for End-stage Liver Disease (MELD) in predicting mortality after surgery other than liver transplantation is unknown. Current methods of predicting risk of postoperative mortality in patients with cirrhosis are suboptimal.

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