THE POSSIBILITY OF USING THE MELD SCALE FOR DETERMINING SEVERITY OF LIVER CIRRHOSISTHE

Objective: to Study the possibility of using the MELD scale to determine the severity of CKD and to determine its diagnostic capabilities.
Methods:we Examined 30 patients with CKD, of which 15 patients were compensated stage of CKD (grade a+) Child-Pugh and 15 people with decompensated cirrhosis (class C). In the blood was evaluated the concentration of total bilirubin and creatinine were calculated INR and the MELD index.
Results: the Calculated MELD index using the indicators of total bilirubin, creatinine and INR increased with the progression of CKD 5 in the stage of compensation to 26 in decompensated stage (p<0.001) and directly correlated with the severity of cirrhosis, assessed by Child-Pugh (rs=0,64; p=0.005). The threshold index value of MELD for the differentiation of compensated stage decompensated CPU from equal to 11.
Conclusions:MELD Calculated index allows to differentiate the degree of severity of CKD with a sensitivity of 73.3% and a specificity of 84.6%. When the value of the index, MELD less than or equal to 11 are diagnosed with compensated stage of the CPU, a value of more than 11 sets of decompensated cirrhosis.Ваши исправления помогают повысить качество машинного переводаСообщить об ошибке