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THE IMPACT OF THE MELD SCORE ON LIVER TRANSPLANT ALLOCATION AND RESULTS: AN INTEGRATIVE REVIEW
Ana Claudia Oliveira de Moraes1, Priscilla Caroliny de Oliveira1, Olival Cirilo Lucena da Fonseca-Neto1
1Instituto Israelita Albert Einstein, São Paulo, SP, Brazil.
Introduction:
Liver transplantation is intended to increase the survival of patients with chronic liver disease in terminal phase, as well as improved quality of life. Since the first transplant until today many changes have occurred in the organ allocation system.
Objective:
To review the literature on the Model for End-stage Liver Disease (MELD) and analyze its correlation with survival after liver transplantation.
Method:
An integrative literature review in Lilacs, SciELO, and Pubmed in October 2015, was realized. Were included eight studies related to the MELD score and its impact on liver transplant.
Results:
There was predominance of transplants in male between 45-55 y. The main indications were hepatitis C, hepatocellular carcinoma and alcoholic cirrhosis. The most important factors post-surgery were related to the MELD score, the recipient age, expanded donor criteria and hemotransfusion.
Conclusion:
The MELD system reduced the death rate in patients waiting for a liver transplant. However, this score by itself is not a good predictor of survival after liver transplantation.
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