Gastroenterology Book

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MELD Score

Aka: MELD Score, Model for End-Stage Liver Disease
  1. Indications
    1. Cirrhosis Prognosis
    2. Liver Transplantation Evaluation
  2. Criteria
    1. Serum Bilirubin
    2. INR
    3. Serum Creatinine
    4. Cirrhosis Etiology
      1. Alcohol or Cholestasis: 0
      2. Other etiologies: 1
  3. Protocol: Calculation
    1. MELD = 3.8 (Ln Bilirubin) + 11.2 (Ln INR) + 9.6 (Ln Creatinine) + 6.4 (etiology)
      1. Where Ln is logorithm
  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) Gastroenterology [PubMed]

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

Concepts Clinical Attribute (T201)
LNC 44760-7
English Model for end-stage liver disease score:Finding:Point in time:^Patient:Quantitative, Model for end-stage liver disease score:Find:Pt:^Patient:Qn, Model for end-stage liver disease score, MELD score Qn
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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