MELD (Model for End-Stage Liver Disease)

A Model to Predict Survival in Patients With End-Stage Liver Disease.

Dialysis in the past week
+1
Creatinine
Bilirubin
INR
Sodium
     
  • If patient had dialysis in the past week the value for Creatinine is 4.
  •  
  • Na+ must be corrected for hyperglycemia with Na = Measured Sodium + 0.016 * (Glucose - 100)
  •  
  • MELD(i) = [9.57 ln creatinine mg/dL + 3.78 * ln bilirubin mg/dL 11.20 ln INR + 6.43*10]
  •  
  • MELD = MELD(i) + 1.32 × (137 – Na) – [0.033 × MELD(i) × (137 – Na)]
Probability Of Having End-Stage Liver Disease
Based on a MELD score of 0
0%
Percent mortality at 3 months