I. Indications

  1. Cirrhosis Prognosis
  2. Liver Transplantation Evaluation

II. Criteria

  1. Serum Bilirubin
  2. INR
  3. Serum Creatinine
  4. Cirrhosis Etiology
    1. Alcohol or Cholestasis: 0
    2. Other etiologies: 1

III. Protocol: Calculation

  1. MELD = 3.8 (Ln Bilirubin) + 11.2 (Ln INR) + 9.6 (Ln Creatinine) + 6.4 (etiology)
    1. Where Ln is logorithm

IV. Interpretation: Postoperative Mortality for patients with Cirrhosis

  1. Score 0-5
    1. Mortality at 7 days: 0.6%
    2. Mortality at 30 days: 3.2%
    3. Mortality at 90 days: 7.1%
  2. Score 6-10
    1. Mortality at 7 days: 2.8%
    2. Mortality at 30 days: 8.6%
    3. Mortality at 90 days: 13.9%
  3. Score 11-15
    1. Mortality at 7 days: 7.2%
    2. Mortality at 30 days: 21.9%
    3. Mortality at 90 days: 30.6%
  4. Score 16-20
    1. Mortality at 7 days: 14.6%
    2. Mortality at 30 days: 44.0%
    3. Mortality at 90 days: 55.8%
  5. Score 21-25
    1. Mortality at 7 days: 22.2%
    2. Mortality at 30 days: 55.6%
    3. Mortality at 90 days: 66.7%
  6. Score >26
    1. Mortality at 7 days: 25.0%
    2. Mortality at 30 days: 87.5%
    3. Mortality at 90 days: 87.5%
  7. References
    1. Teh (2007) Gastroenterology

Images: Related links to external sites (from Google)

Calculation (SoapNote.org)

Ontology: Model for end-stage liver disease score:Finding:Point in time:^Patient:Quantitative (C1715987)

Concepts Clinical Attribute (T201)
English Model for end-stage liver disease score:Finding:Point in time:^Patient:Quantitative, Model for end-stage liver disease score, Model for end-stage liver disease score:Find:Pt:^Patient:Qn