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dc.contributor.authorCelik, Olgun
dc.contributor.authorCiftci, Orcun
dc.contributor.authorMudderisoglu, Ibrahim Haldun
dc.date.accessioned2021-08-17T07:19:48Z
dc.date.available2021-08-17T07:19:48Z
dc.date.issued2020
dc.identifier.issn1024-9079en_US
dc.identifier.urihttps://journals.sagepub.com/doi/10.1177/1024907920904191
dc.identifier.urihttp://hdl.handle.net/11727/6260
dc.description.abstractObjective: We aimed to evaluate Model for End-stage Liver Disease excluding international normalized ratio (MELD-XI) score for prediction of 30-day in-hospital mortality in a cohort of patients with ST elevation myocardial infarction. Methods: The medical records of a total of 256 patients admitted with ST elevation myocardial infarction to the emergency department between January 2015 and January 2019 were retrospectively reviewed. A total of 111 patients were found eligible for the study. MELD-XI score was analyzed and compared on the basis of survival status. Results: A total of 111 patients with a mean age of 62.5 +/- 2.55 years were included in the study. In total, 81% (n = 90) of the patients were male and 19% (n = 21) were female. The mean MELD-XI score of the patients was 10.1 +/- 1.1. A total of 12 patients (12.9%) died within 30 days after hospitalization. The median MELD-XI score of the patients who died in the hospital was significantly higher than the patients survived (11.0 (10.5-11.6) vs 9.5 (9.4-13.8); p < 0.01). However, Gensini score was not significantly different between the surviving and deceased patients (p > 0.05). MELD-XI score was significantly correlated to left ventricular ejection fraction (r = -232, p < 0.01), and both parameters and age were significant independent predictors of in-hospital mortality (odds ratio: 1.73, 95% confidence interval: 1.25-2.39, p < 0.05; odds ratio: 0.89, 95% confidence interval: 0.81-0.99, p < 0.05; and odds ratio: 1.07, 95% confidence interval: 0.99-1.15, p < 0.05, respectively). A MELD-XI cut-off point of 10 had a sensitivity of 100% and a specificity of 78.8% for in-hospital mortality (area under receiver operating characteristics curve: 0.92, 95% confidence interval: 0.87-0.97, p < 0.05). A survival analysis based on a MELD-XI threshold of 10 revealed that the patients in the high-MELD-XI group had a significantly worse in-hospital survival (log rank test p < 0.001). Conclusion: MELD-XI score is a useful tool for in-hospital mortality prediction in patients referring to emergency medicine with acute ST elevation myocardial infarction.en_US
dc.language.isoengen_US
dc.relation.isversionof10.1177/1024907920904191en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMELD-XI scoreen_US
dc.subjectacute ST elevation myocardial infarctionen_US
dc.subjectmortalityen_US
dc.titlePrognostic value of MELD-XI score in patients referring to the emergency department with acute ST elevation myocardial infarctionen_US
dc.typearticleen_US
dc.relation.journalHONG KONG JOURNAL OF EMERGENCY MEDICINEen_US
dc.identifier.wos000511084100001en_US
dc.identifier.scopus2-s2.0-85078960098en_US
dc.contributor.orcID0000-0001-8926-9142en_US
dc.contributor.orcID0000-0002-7190-5443en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.contributor.researcherIDW-5233-2018en_US
dc.contributor.researcherIDAAD-5477-2021en_US


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