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Clinical Calculator
Hepatology V1.0
MELD-Na
Score
Model for End-Stage Liver Disease — Transplant Prioritization
Primary Reference
Kim WR, et al.
N Engl J Med 2008; 359:1018–1026
Laboratory Values
1. Serum Creatinine (mg/dL)
Cap at 4.0. If on dialysis ≥2x/week, set to 4.0
2. Total Bilirubin (mg/dL)
3. INR
4. Serum Sodium (mEq/L)
Bounded 125–137
5. Dialysis ≥2x in Past Week
No
Yes (Cr→4.0)
Calculate MELD-Na
Analysis Required
Enter patient parameters to calculate
MELD-Na score.
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Points
Transplant Priority
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3-Month Mortality
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Priority
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Low <10
Moderate 10–19
Severe ≥20
Breakdown
Clinical Implication
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References & Original Research
↕ Hover to expand
1
Kim WR, et al.
Hyponatremia and mortality on the liver-transplant waiting list.
N Engl J Med 2008;359:1018–1026.
View ↗
2
Kamath PS, et al.
A model to predict survival in end-stage liver disease.
Hepatology 2001;33:464–470.
View ↗