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MELD Score
µmol/L
µmol/L
Clinical Context & Background
The Model for End-Stage Liver Disease (MELD) is a scoring system for assessing the severity of chronic liver disease. It was initially developed to predict death within three months of surgery in patients who had undergone a transjugular intrahepatic portosystemic shunt (TIPS) procedure, and was subsequently found to be useful in determining prognosis and prioritizing for receipt of a liver transplant.
Formula Logic
10 × ((0.957 × ln(Creatinine mg/dL)) + (0.378 × ln(Bilirubin mg/dL)) + (1.120 × ln(INR)) + 0.643)Reference Data
| MELD Score | 3-Month Mortality Estimate |
|---|---|
| 40 or more | 71.3% mortality |
| 30 - 39 | 52.6% mortality |
| 20 - 29 | 19.6% mortality |
| 10 - 19 | 6.0% mortality |
| 9 or less | 1.9% mortality |
Evidence-based oncology decision support. Verify with clinical guidelines.