![]() Maybe you are a glutton for punishment, love math, or are bored after weeks of being in the hospital (like I was). ![]() So, if you really want to calculate your MELD, you can just use an online calculator (hooray, internet!!) like this one. If you want to calculate your own MELD score, there is a formula. Serum Sodium (added as a factor in 2016).YAY! MATH! No? I’m the only one who gets excited about this stuff? MELD is based on lab tests of your blood. UNOS uses scores from 6-40 (although it is possible to score higher than that). So, in early 2002, UNOS adopted MELD scoring for the prioritization and allocation of liver transplants versus wait time. MELD is an accurate predictor of the survivability of patients with most types of liver disease. The Institute of Medicine determined that it should no longer be based on wait time but on a score that reflected liver disease severity. Once developed, changes came for the allocation of livers for transplantation. This made it a more acceptable term across the liver transplant community as it was not associated with a specific institution. Originally called the Mayo End-Stage Liver Disease model, the name was changed from Mayo to Model. It was later discovered as a more effective way to assess the severity of liver disease over the previously used Child-Pugh score. Patrick Kamath at Mayo as a way to predict the mortality of patients who had received the TIPS procedure. As an aside, a similar model is used for pediatric patients called PELD. The MELD score (Model for End-Stage Liver Disease) is a scoring system for the chronic liver disease of people 12 and older. ![]() Understanding your score and how its calculation will give you a better understanding of your wait time and the severity of your illness. Liver transplant candidates are listed and transplanted based on their MELD score.
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