Predicting Outcomes of Abdominal Surgery in Cirrhotic Patients

Patients with high liver-disease scores and low albumin levels suffered the highest mortality.

Abdominal surgery is associated with substantial morbidity and mortality in patients with advanced cirrhosis. To identify factors that would predict surgical outcomes in these patients, investigators conducted a retrospective chart review of 100 cirrhotic patients who underwent abdominal surgery at a single hospital specializing in liver medicine. Liver dysfunction was classified as Child-Pugh class A in 50 patients, class B in 33 patients, and class C in 17 patients.

The findings were as follows:

Overall 30-day postoperative mortality was 7%.
Mortality was 2% in class A patients and 12% in class B and C patients.
Mortality was 29% in patients with model for end-stage liver disease (MELD) scores ≥15.
Mortality was higher in patients with MELD sc…

Reviewing Author

Atif Zaman, MD, MPH

Disclosures

Nothing to disclose

Atif Zaman, MD, MPH

Disclosures

Nothing to disclose