Patients hospitalized for hepatic decompensation (referred to as Validity was tested in 4 independent data sets, including (1) Prothrombin time, and etiology of liver disease. The Model forĮnd-Stage Liver Disease (MELD) consists of serum bilirubin andĬreatinine levels, International Normalized Ratio (INR) for With a broader range of disease severity and etiology.

Intrahepatic portosystemic shunt (TIPS) procedure in patient groups To examine the generalizability of a model previously created toĮstimate survival of patients undergoing the transjugular

Verifiable, and easily obtained variables. Necessitates a disease severity index based on generalizable, Priorities in allocating organs for liver transplantation and 2001Ī recent mandate emphasizes severity of liver disease to determine Kamath PS, Wiesner RH, Malinchoc M, Kremers W, Therneau TM, KosbergĬL, D'Amico G, Dickson ER, Kim WR.(logarithm of a number below one will be a negative number) This score is now used by the United Network for Organ Sharing (UNOS) and Eurotransplantįor prioritizing allocation of liver transplants instead of the olderĪny value less than one is given a value of 1 to prevent a negative value Patients will automatically revert to the previous MELD score. Must be updated according to the UNOS Recertification Schedule, otherwise Ranges in value from 6 (lowest priority) to 40 (highest priority). Patient’s serum creatinine, INR and bilirubin, as these were found to mostĪccurately correlate with mortality within a three month period. Liver transplant in the next three months. Probability of death from liver disease and how urgently an individual needs a The Model for End-Stage Liver Disease (MELD) is a useful tool in predicting the (or) received 24 hours of continuous veno-venous hemodialysis (CVVHD) Has the patient had dialysis at least twice in the prior 7 days MELD scores are reported as whole numbers, so the result of the equation above MELD Score = 10 x (0.957 x Ln(serum creatinine mg/dL) + 0.378 x Ln(serum bilirubin MELD Score (Model For End-Stage Liver Disease)

Meld score for liver transplant