Comparative assessment of diagnostic significance of MELD and MELD-Na scores in alcoholic liver disease with standard care

The aim is to conduct a comparative assessment of the diagnostic significance of the MELD and MELD-Na scores in alcoholic liver disease with standard care from the point of view of practical significance and assessment of the prospects for patient management. An analysis of the mortality risks is carried out based on a comparison of the values of the MELD and MELD-Na scores before and after standard care of alcoholic liver disease (alcoholic hepatitis) in 42 patients. These were 31 men aged 44.0+7.4 years and 11 women aged 48.0+8.6 years. It is revealed that it is most reasonable to use the MELD-Na score to assess the mortality risks and the severity of hepatism in patients with alcoholic liver disease. This score allows to accurately assess medium and high initial mortality risks (76 and 52% for MELD-Na and MELD, respectively) before standard care and to show more significant care results compared to MELD. These results show statistically more significant regression of mortality risks (93 and 31%, respectively) and overall better final treatment results (100 and 38%, respectively).