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In Anesthesia and pain medicine

The mortality scoring systems for patients with end-stage liver disease have evolved from the Child-Turcotte-Pugh score to the model for end-stage liver disease (MELD) score, affecting the wait list for liver allocation. There are inherent weaknesses in the MELD score, with the gradual decline in its accuracy owing to changes in patient demographics or treatment options. Continuous refinement of the MELD score is in progress; however, both advantages and disadvantages exist. Recently, attempts have been made to introduce artificial intelligence into mortality prediction; however, many challenges must still be overcome. More research is needed to improve the accuracy of mortality prediction in liver transplant recipients.

Chung Yang-Hoon, Jung Jaewoong, Kim Sang Hyun

2023-Jan

Acute-on-chronic liver failure, End stage liver disease, Liver cirrhosis, Liver transplantation, Mortality, Organ dysfunction scores, Prognosis