Comparative study between the value of MESO index and MELD-Na in the short-term prognosis of decompensated liver cirrhosis

Objective To evaluate the clinical value of the MELD model, MELD-Na model and the MESO index in the short-term prognostic prediction with decompensated liver cirrhosis patients.Methods Decompensated liver cirrhosis patients were graded with MELD, MELD-Na and MESO-index scores;The accuracy of the three parameters on predicting survival were analyzed and compared with each other using the area under the receiver operating characteristic (ROC) curve (AUC) .Results Thirty four patients died within 3 months, whose MELD-Na score, MELD score, MESO-index score were higher than those of survivors (P<0.05) .The AUC values generated by the ROC curves for the MESO-index were higher than the MELD-Na and the MELD score (P<0.05) .Conclusion The result suggests that the involvement of serum sodium can improve the values of MELD model.MELD, MELD-Na and MESO-index can accurately predict the short-term prognosis of patients with decompensated liver cirrhosis, while MESO-index is superior to the others.