{"doi":"10.1159/000503921","title":"Child-Turcotte-Pugh Score, MELD Score and MELD-Na Score as Predictors of Short-Term Mortality among Patients with End-Stage Liver Disease in Northern India","abstract":"<b><i>Background and Objectives:</i></b> Child-Turcotte-Pugh (CTP), Model for End-Stage Liver Disease (MELD) and MELD-sodium (MELD-Na) scores are used for predicting disease severity and mortality among patients with end-stage liver disease. However, data regarding their usefulness in predicting the short-term outcome of end-stage liver disease are not available in India. This prospective study compared the CTP score, MELD score and MELD-Na score as predictors of short-term outcome among patients with end-stage liver disease. <b><i>Methods:</i></b> CTP, MELD and MELD-Na scores were determined in 171 patients with end-stage liver disease at a tertiary healthcare centre in India at the time of admission, and the concordance (C-) statistics of the three scores for 3-month mortality were assessed and compared. The aetiology of end-stage liver disease and the clinical presentation were determined. <b><i>Results:</i></b> The CTP score, MELD score and MELD-Na score on day 1 were significantly higher among non-survivors than among survivors (<i>p</i> &#x3c; 0.0001 each). The C-statistic for 3-month mortality for the CTP score was 0.93 (<i>p</i> &#x3c; 0.0001), that for the MELD score was 0.86 (<i>p</i> &#x3c; 0.0001) and that for the MELD-Na score was 0.83 (<i>p</i> &#x3c; 0.0001). The C-statistics of these scores differed significantly for 3-month mortality, and the CTP score was better than the MELD (<i>p</i> &#x3c; 0.0001) and MELD-Na (<i>p</i> &#x3c; 0.0001) scores in predicting 3-month mortality. <b><i>Conclusions:</i></b> The CTP, MELD and MELD-Na scores were very good predictors of mortality at 3 months among patients with end-stage liver disease. The CTP score was superior to the MELD and MELD-Na scores in predicting 3-month mortality.","journal":"Inflammatory Intestinal Diseases","year":2020,"id":26370,"datarank":1.8337517304376,"base_score":3.8712010109078907,"endowment":3.8712010109078907,"self_citation_contribution":0.5806801516361837,"citation_network_contribution":1.2530715788014164,"self_endowment_contribution":0.5806801516361837,"citer_contribution":1.2530715788014164,"corpus_percentile":null,"corpus_rank":null,"citation_count":47,"citer_count":47,"citers_with_citation_signal":27,"citers_with_endowment":27,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":152716,"name":"Rajeev Mohan Kaushik","orcid":"0000-0003-0217-4269","position":1,"is_corresponding":false},{"id":152717,"name":"Rohit Gupta","orcid":null,"position":2,"is_corresponding":false},{"id":152718,"name":"Reshma Kaushik","orcid":null,"position":3,"is_corresponding":false},{"id":152715,"name":"Gagandeep Acharya","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"base_score":3.8712010109078907,"endowment":3.8712010109078907,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"32232049","pmcid":"PMC7098314","openalex_id":"https://openalex.org/W2982852785","authors":[],"funders":[],"total_grants":0,"fwci":2.5507,"citation_percentile":0.90254854,"influential_citations":0,"citation_trend":[{"year":2021,"count":7},{"year":2022,"count":12},{"year":2023,"count":14},{"year":2024,"count":6},{"year":2025,"count":6},{"year":2026,"count":2}],"oa_status":"gold","license":"https://creativecommons.org/licenses/by-nc-nd/4.0/","oa_locations":[{"url":"https://www.karger.com/Article/Pdf/503921","host_type":"journal"},{"url":"https://www.karger.com/Article/Pdf/503921","host_type":"GOLD"},{"url":"https://www.karger.com/Article/Pdf/503921","host_type":"publisher"},{"url":"https://doi.org/10.1159/000503921","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/32232049","host_type":"repository"},{"url":"http://europepmc.org/pmc/articles/PMC7098314","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7098314","host_type":"repository"}],"fields_of_study":["Liver Disease and Transplantation","Liver Disease Diagnosis and Treatment","Organ Transplantation Techniques and Outcomes","Medicine"],"mesh_terms":[],"keywords":["Medicine","Liver disease","Internal medicine","Model for End-Stage Liver Disease","Concordance","Gastroenterology","Liver transplantation","Transplantation","Meld Score","End-stage Liver Disease","Short-term Outcome","Child-turcotte-pugh Score","Meld-na Score"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-06-08T13:47:39.941827Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}