MELD Calculator

Model for End-stage Liver Disease (MELD) 

What is the MELD score ?
MELD stands for “Model for End-Stage Liver Disease.” It is a liver disease severity scoring system used for patients more than age 12 years. MELD score ranges from 6 (less ill) to 40 (gravely ill). MELD score predicts the three month mortality rate in patients with advanced liver disease and signifies how urgently a patient needs a liver transplant. Patients with higher scores have increased risk of complications and death, if not transplanted early. A patient’s score may go up or down over time depending on the status of his or her liver disease. The MELD score is periodically assessed a number of times in patients while they are on the waiting list. MELD scores are used to prioritize organ allocation between patients. This will help ensure that donated livers go to the patients in greatest need at that moment.

How is the MELD score calculated ? 
The MELD is calculated using a complex mathematical formula using three routine laboratory test results:
        Bilirubin, which measures how effectively the liver excretes bile
        INR (prothrombin time), which measures the liver’s ability to make blood clotting factors
        Creatinine, which measures kidney function. (Impaired kidney function is often associated with severe liver disease.)

What scoring system is used in children listed for liver transplantation ? 
The liver disease risk assessment in children below age of 12 years is done using the PELD score. PELD is similar to MELD but uses some different factors to recognize the specific growth and development needs of children. As with MELD, a child’s score may go up or down over time depending on the status of his or her disease. Most candidates will have their PELD score assessed a number of times while they are on the waiting list. This will help ensure that donated livers go to the patients in greatest need at that moment.

Are there any other scoring systems to assess risk ? 
Child Pugh score also assesses risk in patients with liver failure. Child score uses variables such as Bilirubin, Albumin, INR, degree of ascites and encephalopathy to calculate a numerical score ranging from 5 (less sick) to 15 (more sick). 

How can I calculate my MELD score ?
You can calculate your current MELD score by clicking here : MELD CALCULATOR

MELD Calculator MELD Score