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MELD ScoreAka: Model for End-Stage Liver Disease

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  1. Indications
    1. Cirrhosis Prognosis
  2. Criteria
    1. Serum Bilirubin
    2. INR
    3. Serum Creatinine
    4. Cirrhosis Etiology
      1. Alcohol or Cholestasis: 0
      2. Other etiologies: 1
  3. Calculation (where Ln is logorithm)
    1. MELD = 3.8 (Ln Bilirubin) + 11.2 (Ln INR) + 9.6 (Ln Creatinine) + 6.4 (etiology)
  4. 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) :
  5. Resources
    1. MELD Calculator
      1. http://www.unos.org/resources/MELDcalculator

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