Heart failure & cardiomyopathies

MELD Score Predicts Outcomes in Patients with Advanced Heart Failure: A Longitudinal Evaluation

ESC Heart FailPublished Prospective cohort study

Main finding · Combined outcome (death, urgent transplant, LVAD)Result — go to the resultHazard ratio 1.094 95% CI 1.003–1.196

Authors' conclusion

The MELD score and its longitudinal changes are effective predictors of adverse outcomes in AHF.

Study context

Population
Patients with advanced HF on maximum tolerated guideline medical therapy
Participants
162 patients
Exposure
MELD score vs MELD-Na, MELD-XI, MAGGIC risk score and MECKI for prognosis
Outcome
Composite of:
  • Death
  • Urgent heart transplant
  • LVAD implant
Follow-up
31.4 ± 15.6 months
Methodological detailslongitudinal
  • Longitudinal

Main finding

As reported in the abstract

Combined outcome:
  • Death
  • Urgent transplant
  • LVAD

Hazard ratio

1.094

95% CI 1.003–1.196

By group

MELD

0.887

AUC

MELD
HR 1.094 (95% CI 1.003–1.196)

Per unit increase in MELD, as printed

Observational data: associations, not effects.

Further findings

Clinical correlates of MELD score (multiple regression)

NT-proBNP (positive correlation), β = 0.215
P = 0.041
Furosemide dosage (positive correlation), β = 0.187
P = 0.040
TAPSE (negative correlation), β = −0.204
P = 0.047

Original publication

MELD Score Predicts Outcomes in Patients with Advanced Heart Failure: A Longitudinal Evaluation. ESC Heart Fail. Published 7 December 2024. doi:10.1002/ehf2.15002

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