It is a new score to assess the severity of chronic liver disease. A higher score means worse prognosis.įor each, 3-month observed mortality is assigned to each subsetĭepending on what the MELD score is, a recalculation is scheduled for monitoring purpose The calculated score is arranged in a subset of 10. For any value of any parameter less than 1, the rounding off is done to 1.0.For patients who underwent dialysis twice in the last 7 days, serum creatinine is taken 4.0.The scores are reported as whole numbers, so the result of the equation above is rounded.įollowing modifications have been added by United Network for Organ Sharing It is calculated according to the following formula: International normalized ratio or prothrombin time.MELD is also found useful in a wide range of chronic liver diseases. In patients below 12 years, PELD score is used Īfter its success in the United States of America, MELD has been adopted globally for use in liver transplant.
The score is used in patients more than 12 years old. The score is now preferred over Child-Pugh Score which was earlier used for prioritizing the allocation of a liver transplant. The score was originally developed at the Mayo Clinic and as called the Mayo End-stage Liver Disease score. The score was developed at Mayo’s clinic to predict mortality within three months of surgery in patients who had undergone a transjugular intrahepatic portosystemic shunt or TIPS procedure. MELD is the short form for the Model for End-Stage Liver Disease, a scoring system that is used for gauging prognosis and determining priority for receipt of a liver transplant.
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