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MELD Score (Model For End-Stage Liver Disease)


BACKGROUND:
Equation: MELD Score = 10 x (0.957 x Ln(Serum Cr) + 0.378 x Ln(Serum Bilirubin) + 1.120 x Ln(INR) + 0.643 )

The Model for End-Stage Liver Disease (MELD) is a useful tool in predicting the probability of death from liver disease and how urgently an individual needs a liver transplant in the next three months. The MELD score is based on a patient’s serum creatinine, INR and bilirubin, as these were found to most accurately correlate with mortality within a three month period. The score ranges in value from 6 (lowest priority) to 40 (highest priority). Lab values must be updated according to the UNOS Recertification Schedule, otherwise, patients will automatically revert to the previous MELD score.
(12 and older)
Serum Bilirubin:  
INR:
Serum Creatinine
Has the patient had dialysis at least twice in the past week? [ Yes ]

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