Abstract No. 66 Comparative Prognostic Utility of Updated Model for End-Stage Liver Disease Scores for Prediction of Early Mortality after Transjugular Intrahepatic Portosystemic Shunt Creation

The Model for End-Stage Liver Disease (MELD) score is an established, objective, and robust predictor of mortality after transjugular intrahepatic portosystemic shunt (TIPS) creation. However, purported shortcomings—such as omission of electrolyte abnormalities, renal function, and biological sex in score calculation—have led to the development of updated MELD scoring systems, some of which have been adopted for liver transplant allocation. Yet, the relative value of these new MELD systems for predicting survival after TIPS is unclear.