Mortality Related Factors in Patients with Variceal Bleeding with MELD Score ≥18

OBJECTIVE: To find and analyse the associated determinants of mortality in admitted patients in cirrhotic patients with MELD score >18 presenting in emergency department with variceal bleeding. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Department of Emergency Medicine, King Sultan Military Hospital Riyadh, Kingdom of Saudi Arabia, from July 2017 to January 2018. METHODOLOGY: A total of 235 patients fulfilling the inclusion criteria were enrolled in the study. Diagnosis of cirrhosis was made if the patients had platelets 3 sec (prolonged), biochemical (reversal of ALT, AST ratio, albumin 0.05) with respect to MELD scores. Probability of survival was 0.80. CONCLUSION: Liver cirrhosis with MELD score >18 and variceal bleeding is highly prevalent in young adult patients, more likely in male patients having duration of disease since >1 year to 3 years such that every 1 of 5 patients expired during the hospital stay. Probability of survival was 80%.