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Gastroenterology
MELD Score — End-Stage Liver Disease
Model for End-Stage Liver Disease with MELD-Na calculation
Laboratory Values
MELD Score
—
Risk Category
3-Month Mortality
—
UNOS Listing Guidance
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MELD = 3.78 × ln(Bili) + 11.2 × ln(INR) + 9.57 × ln(Cr) + 6.43
MELD-Na = MELD − Na − (0.025 × MELD × (140−Na)) + 140
(Na capped 125–137 mEq/L; minimum values: Bili≥1.0, Cr≥1.0, INR≥1.0)
Show Reference Table
MELD-Na = MELD − Na − (0.025 × MELD × (140−Na)) + 140
(Na capped 125–137 mEq/L; minimum values: Bili≥1.0, Cr≥1.0, INR≥1.0)
| MELD | 3-Month Mortality | Risk Category | UNOS Priority |
|---|---|---|---|
| <10 | ~1.9% | Low | Not typically listed |
| 10–19 | ~6% | Moderate | Consider listing ≥15 |
| 20–29 | ~19.6% | High | Active listing |
| 30–39 | ~52.6% | Very High | High priority |
| ≥40 | ~71.3% | Critical | Status 1B consideration |
