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Articles Published Processes
4/21/2026 8:57:45 AM | Browse: 2 | Download: 15
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Received |
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2025-11-05 07:17 |
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Peer-Review Started |
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2025-11-05 07:17 |
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First Decision by Editorial Office Director |
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2025-11-25 07:54 |
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Return for Revision |
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2025-11-25 07:54 |
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Revised |
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2025-12-09 00:08 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-01-20 02:33 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-01-20 08:29 |
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Articles in Press |
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2026-01-20 08:29 |
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Edit the Manuscript by Language Editor |
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2026-01-30 00:35 |
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Typeset the Manuscript |
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2026-04-10 08:12 |
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Publish the Manuscript Online |
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2026-04-21 08:57 |
| ISSN |
1948-5182 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Retrospective Study |
| Article Title |
In-hospital mortality and dynamic modified end-stage liver disease score after emergency general surgery in patients with cirrhosis
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Ashling L Zhang, Nathnael Tessema, Jaclyn Clark, Roumen Vesselinov, Lindsay O’Meara, David T Efron and Mira H Ghneim |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Mira H Ghneim, Associate Professor, FACS, MD, Program in Trauma, University of Maryland School of Medicine, R. Adams Cowley Shock Trauma Center, 22 S. Greene Street, Baltimore, MD 21201, United States. mira.ghneim@som.umaryland.edu |
| Key Words |
Emergency general surgery; Cirrhosis; Outcomes; Mortality; Model for end-stage liver disease |
| Core Tip |
For cirrhotic patients requiring emergency general surgery, initial model for end-stage liver disease (MELD) score alone may be insufficient for perioperative risk assessment, as MELD can change postoperatively. In this single-center retrospective study of 94 patients, MELD at discharge/death was independently associated with in-hospital mortality, whereas admission and day-of-surgery MELD were not. Among 24 patients whose MELD improved after surgery, 92% survived; among 14 whose MELD worsened, 93% died. All patients with final MELD ≥ 30 died. Increases in MELD were primarily driven by bilirubin and creatinine, highlighting the need for targeted post-operative strategies to limit renal and hepatic dysfunction. |
| Publish Date |
2026-04-21 08:57 |
| 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 |
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