In-hospital mortality and dynamic modified end-stage liver disease score after emergency general surgery in patients with cirrhosis

doi:10.4254/wjh.v18.i4.116176

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Hepatol. Apr 27, 2026; 18(4): 116176
Published online Apr 27, 2026. doi: 10.4254/wjh.v18.i4.116176

Table 4 Independent predictors of in-hospital mortality and surgical complications across the entire cohort

Outcome	OR	95%CI	P value
Mortality¹
MELD at discharge/death	1.25	1.09-1.44	0.002
Vasopressors at index operation	18.3	2.88-116	0.002
Surgical complications²
Final closure: Open abdomen	8.36	1.11-62	0.039
Total number of operations	8.21	3.10-22	< 0.001
Postoperative diuretic use	8.53	2.00-39	0.006

¹Area under the curve = 0.97.

²Area under the curve = 0.89.

CI: Confidence interval; MELD: Model for end-stage liver disease; OR: Odds ratio.

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Citation: Zhang AL, Tessema N, Clark J, Vesselinov R, O’Meara L, Efron DT, Ghneim MH. In-hospital mortality and dynamic modified end-stage liver disease score after emergency general surgery in patients with cirrhosis. World J Hepatol 2026; 18(4): 116176
URL: https://www.wjgnet.com/1948-5182/full/v18/i4/116176.htm
DOI: https://dx.doi.org/10.4254/wjh.v18.i4.116176

Zhang AL, Tessema N, Clark J, Vesselinov R, O’Meara L, Efron DT, Ghneim MH. In-hospital mortality and dynamic modified end-stage liver disease score after emergency general surgery in patients with cirrhosis. World J Hepatol 2026; 18(4): 116176 [DOI: 10.4254/wjh.v18.i4.116176]

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