Comparative Analysis of Different Tests to Evaluate Prognosis of Patients on Liver Transplant Waiting List

Guilherme Rezende80 enrolled

Overview

It is a cohort to evaluate the power of different diagnostic tests in predicting the prognosis of patients with severe liver disease. Patients with decompensated liver cirrhosis on the waiting list for liver transplantation will be evaluated with comparison of different diagnostic tests according to the MELD score (Model for End-Stage Liver Disease), MELD-Na (Model for End-Stage Liver Disease and sodium), indocyanine green clearance test, hepatic venous pressure gradient and transient elastography. All patients will be submitted to all the tests and prospectively followed for 6 months, to establish mortality and complications related to liver disease in order to define the value of each method to predict outcomes.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Cirrhosis Liver Failure Portal Hypertension

Eligibility

Sex: ALLMin age: 18 YearsMax age: 69 Years

Medical Language ↔ Plain English

Inclusion Criteria: * the study includes patients (80 patients) * were male and female * aged between 18 and 69 years with chronic liver disease * with MELD inclusion greater than or equal to 14 to 30 Exclusion Criteria: * they have been transplanted * have a diagnosis of primary malignant liver (HCC) signed by imaging tests performed * MELD scores greater than 30.

Locations (1)

Outcomes

Primary Outcomes

All cause mortality

Mortality within 6 months after evaluation, classifying as related or non-related to liver disease

Time frame: 6 months

Secondary Outcomes

Chronic liver failure and portal hypertension complications

Complications: * gastroesophageal variceal bleeding * worsening of hepatic encephalopathy * decompensated ascites and spontaneous bacterial peritonitis * hepatorenal syndrome

Time frame: 6 months