What is the Model for End-Stage Liver Disease (MELD) score and how is it used in patients with cirrhosis?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

Answer

Since 2002, liver transplant programs in the United States have used the Model for End-Stage Liver Disease (MELD) scoring system to assess the relative severity of patients' liver disease. Patients may receive a MELD score of 6-40 points (see the MELD Score calculator). The 3-month mortality statistics are associated with the following MELD scores [48] :

  • MELD score of less than 9 - 2.9% mortality

  • MELD score of 10-19 - 7.7% mortality

  • MELD score of 20-29 - 23.5% mortality

  • MELD score of 30-39 - 60% mortality

  • MELD score of greater than 40 - 81% mortality


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