MELD Score

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The MELD score can help predict mortality in patients with cirrhosis and end-stage liver disease. The equation is:

{\mbox{MELD}}=6.43+3.78*{\mbox{ln}}\left({\mbox{bilirubin mg/dL}}\right)+9.57*{\mbox{ln}}\left({\mbox{creatinine mg/dl}}\right)+11.2*{\mbox{ln}}\left({\mbox{INR}}\right)

In interpeting the MELD Score in hospitalized patients, the 3 month mortality is:^[1]

The MELD has also been studied in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS).^[2]

References

↑ Kamath PS, Wiesner RH, Malinchoc M, et al (2001). "A model to predict survival in patients with end-stage liver disease". Hepatology 33 (2): 464–70. DOI:10.1053/jhep.2001.22172. PMID 11172350. Research Blogging.
↑ Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC (2000). "A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts". Hepatology 31 (4): 864–71. DOI:10.1053/he.2000.5852. PMID 10733541. Research Blogging.