Influence of Serum Sodium on MELD-Based Survival Prediction in Alcoholic Hepatitis

Vaa, Brianna E.; Asrani, Sumeet K.; Dunn, Winston; Kamath, Patrick S.; Shah, Vijay H.
January 2011
Mayo Clinic Proceedings;Jan2011, Vol. 86 Issue 1, p37
Academic Journal
OBJECTIVE: To compare the Model for End-stage Liver Disease (MELD) with the modified model including sodium (MELDNa) for predicting 180-day mortality in patients with alcoholic hepatitis (AH) and determine the subset in whom serum sodium may enhance 180-day mortality prediction. PATIENTS AND METHODS: We examined 26 patients with AH enrolled in a prospective trial between June 1, 2004, and June 30, 2007, at Mayo Clinic. Logistic regression analysis was done to assess the effect of MELD and MELDNa scores on 180-day mortality. The C statistic was derived to compare MELD with MELDNa in patients with and without ascites. RESULTS: MELD (odds ratio [OR], 1.22; 95% confidence interval [Cl], 1.05-1.47; P=007; C statistic, 0.81) and MELDNa (OR, 1.24; 95% Cl, 1.05-1.56; P=.008; C statistic, 0.78) were significant predictors of 180-day mortality in patients with AH. A MELD score of 27.0 and a MELDNa score of 28.0 had sensitivity of 76.5% and 87.5% and specificity of 64.9% and 52.5%, respectively. In patients with AH and ascites, MELDNa (OR, 2.27; 95% Cl, 1.22-36.68; P=.008; C statistic, 0.97) was a better predictor of 180-day mortality than MELD (OR, 1.37; 95% Cl, 1.07-2.12; P=.006; C statistic, 0.90). A MELD score of 29.0 and a MELDNa score of 34.0 had sensitivity of 85.7% and 83.3% and specificity of 31.0% and 16.7%, respectively. CONCLUSION: MELD and MELDNa were similar predictors of 180-day mortality; however, MELDNa was a better predictor of mortality than MELD In patients with ascites. Hyponatremia in patients with AH without ascites is not a predictor of mortality because It may have a dilutional basis secondary to excessive intake of low-osmolar alcohol.


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