Formula

Varianta 1.

3.8 x log (e) (bilirubin mg/dL) + 11.2 x log (e) (INR) + 9.6 log (e) (creatinine mg/dL)

Valori de la 6 la 40

In interpreting the MELD Score in hospitalized patients, the 3 month mortality is:[2]

  • 40 or more – 100% mortality
  • 30-39 – 83% mortality
  • 20-29 – 76% mortality
  • 10-19 – 27% mortality
  • <10 – 4% mortality

Varianta 1a pentru ciroze cu interpretare

MELD = 3.8 (Ln Bilirubin) + 11.2 (Ln INR) + 9.6 (Ln Creatinine) + 6.4 (etiology)

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%

Varianta 2.

(0.957 * ln(Serum Cr) + 0.378 * ln(Serum Bilirubin) + 1.120 * ln(INR) + 0.643 ) * 10

Valorila sint date in micromoli

pacientul hemodializat are automat creatinina 4

Arata gravitatea suferintei hepatice.

Este folosit pentru ierarhizarea pacientilor care asteapta transplantul hepatic.

Alte variante

MELD (1) 9.57xln (creatinine(mg/dL)) + 3.78xln (bilirubin(mg/dL)) + 11.2xln(INR) + 6.43
MELD-Na (2) MELD + 1.59x(135 – Na (mmol/L)); Na range = 120 and 135 mmol/L
MELDNa (3) MELD – Na (mmol/L) – (0.025xMELDx(140 – Na (mmol/L)) + 140; Na range = 125 – 140 mmol/L
MESO (4) (MELD / Na (mmol/L)) x 100
iMELD (5) MELD + (age (years) x 0.3) – (0.7xNa (mmol/L)) + 100
UKELD (6) 5x{1.5xln(INR) + 0.3xln(creatinine(µmol/L)) + 0.6xln(bilirubin(µmol/L)) – 13xln (Na(mmol/L) + 70}
Updated MELD (7) 1.27xln (1 + creatinine(mg/dL)) + 0.94xln (1 + bilirubin(mg/dL)) + 1.66xln (1 + INR)
Anunțuri