Table 2:
MELD-XI Score and Hepatorenal Dysfunction
| MELD-XI | HRD (MELD-XI ≥11) | Mild/mod HRD (MELD-XI 11–15) | Severe HRD (MELD-XI >15) | |
|---|---|---|---|---|
|
| ||||
| All patients | 9.5 (9.4–12.6) | 1,376 (28%) | 935 (19%) | 441 (9%) |
| Congenital heart lesions | ||||
| Coarctation of aorta | 9.4 (9.4–11.2) | 209 (26%) | 175 (22%) | 34 (4%) |
| Tetralogy of Fallot | 10.9 (9.8–13.6) | 253 (34%) | 180 (24%) | 73 (10%) |
| Ebstein anomaly | 10.6 (9.5–12.8) | 212 (31%) | 151 (22%) | 61 (9%) |
| Congenital aortic stenosis (isolated) | 9.4 (9.4–10.9) | 125 (19%) | 82 (12%) | 43 (7%) |
| Fontan palliation | 11.2 (10.1–14.6) | 169 (46%) | 100 (27%) | 69 (19%) |
| Atrioventricular canal defect | 9.5 (9.4–11.3) | 85 (28%) | 54 (18%) | 31 (10%) |
| ASD/PAPVR (repaired) | 9.4 (9.4–10.7) | 67 (24%) | 46 (17%) | 21 (7%) |
| Valvular pulmonic stenosis | 9.4 (9.4–10.3) | 41 (17%) | 23 (10%) | 18 (8%) |
| Congenitally corrected TGA | 9.6 (9.4–12.6) | 47 (23%) | 28 (14%) | 19 (9%) |
| TGA status post atrial switch operation | 9.4 (9.4–11.2) | 34 (17%) | 18 (10%) | 16 (9%) |
| TGA status post arterial switch operation | 9.4 (9.4–9.9) | 30 (18%) | 17 (10%) | 13 (8%) |
| Subaortic stenosis (isolated) | 9.4 (9.4–10.5) | 25 (19%) | 16 (12%) | 9 (7%) |
| Eisenmenger /unrepaired single ventricle | 11.4 (10.9–13.7) | 37 (49%) | 21 (28%) | 16 (21%) |
| Pulmonary atresia-intact ventricular septum | 11.1 (10.4–14.3) | 21 (48%) | 11 (25%) | 10 (23%) |
| Truncus arteriosus | 9.9 (9.5–12.8) | 10 (26%) | 5 (14%) | 5 (13%) |
| Double chambered RV | 9.4 (9.4–10.6) | 6 (19%) | 4 (13%) | 2 (6%) |
| ASD/APVR (unrepaired) | 9.5 (9.4–10.8) | 5 (21%) | 4 (17%) | 1 (4%) |
TGA: Transposition of great arteries; ASD/PAPVR: atrial septal defect/partial anomalous pulmonary venous return; MELD-XI: model for end-stage liver disease excluding international normalized ratio; HRD: hepatorenal dysfunction
Note: (%) denotes the prevalence of hepatorenal dysfunction within each congenital heart lesion