GIÁ TRỊ TIÊN LƯỚNG CỦA CHỈ SỐ MELD TRONG DỰ ĐOÁN NGUY CƠ SUY GAN CẤP Ở BỆNH NHÂN XƠ GAN ĐIỀU TRỊ TẠI TRUNG TÂM Y TẾ HUYỆN THANH BA

Abstract

Objective: To evaluate the prognostic value of the MELD score in predicting the risk of acute liver failure in cirrhotic patients treated at Thanh Ba Medical Center. Subjects and Methods: A prospective study was conducted on 52 cirrhotic patients, divided into two groups: with and without acute liver failure. The MELD score was calculated and analyzed for its association with the risk of acute liver failure. Results: Patients with acute liver failure had a significantly higher mean MELD score than those without (22.4 ± 3.1 vs. 15.2 ± 2.8; p < 0.01). A MELD threshold of ≥18 had a sensitivity of 85% and a specificity of 78% for predicting acute liver failure. When MELD ≥20, specificity increased to 85.1%. Conclusion: The MELD score has high prognostic value in predicting acute liver failure risk in cirrhotic patients. A MELD threshold of ≥18 enables early identification of high-risk patients, facilitating timely treatment and reducing mortality rates