The PELD score is used for patients younger than 12 years of age. Patients with acute liver failure are given a distinction called "status 1," which supersedes MELD scores in terms of transplantation prioritization. Use of the MELD score to prioritize transplants has lead to a decreased rate of pretransplant death for those on the waiting list, but use of the score causes some controversy because it does not indicate survival benefit of transplantation. >15: may benefit from liver transplantationĬertain clinical situations lead to automatic increases in the MELD score in an attempt to increase or decrease waiting times on a liver transplant waiting list:.Scores are used to prioritize liver transplantation: The original MELD calculator uses creatinine, bilirubin, and INR. MELD scores range from 6 to 40 the higher the score, the higher the 3-month mortality related to liver disease. These variables are used to calculate the score 2: MELD = (0.957 x ln ) + (0.378 x ln ) + (1.120 x ln ) + 0.643 Model for End-Stage Liver Disease (MELD) score is a prognostic scoring system, based on laboratory parameters, used to predict 3-month mortality due to liver disease.
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