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Child-Na Score: A Predictive Model for Survival in Cirrhotic Patients with Symptomatic Portal Hypertension Treated with TIPS

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Listed:
  • Hui Chen
  • Ming Bai
  • Xingshun Qi
  • Lei Liu
  • Chuangye He
  • Zhanxin Yin
  • Daiming Fan
  • Guohong Han

Abstract

Background and Aim: Several models have been developed to predict survival in patients with cirrhosis undergoing TIPS; however, few of these models have gained widespread acceptance, especially in the era of covered stents. The aim of this study was to establish an evidence-based model for predicting survival after TIPS procedures. Methods: A total of 210 patients with cirrhosis treated with TIPS were considered in the study. We comprehensively investigated factors associated with one-year survival and developed a new predictive model using the Cox regression model. Results: In the multivariate analysis, the Child-Pugh score and serum sodium levels were independent predictors of one-year survival. A new score incorporating serum sodium into the Child-Pugh score was developed: Child-Na score. We compared the predictive accuracy of Child-Na score with that of other scores; only the Child-Na and MELD-Na scores had adequate predictive ability in patients with serum Na levels

Suggested Citation

  • Hui Chen & Ming Bai & Xingshun Qi & Lei Liu & Chuangye He & Zhanxin Yin & Daiming Fan & Guohong Han, 2013. "Child-Na Score: A Predictive Model for Survival in Cirrhotic Patients with Symptomatic Portal Hypertension Treated with TIPS," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-7, November.
    • Handle: RePEc:plo:pone00:0079637
    DOI: 10.1371/journal.pone.0079637
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