How are the MELD and PELD score calculated?
The MELD score uses a mathematical formula based on serum creatinine, bilirubin, and INR. MELD scores can range from 6 to 40 (MELD scores greater than 40 are all grouped together and receive a score of 40). The PELD score formula includes bilirubin, and INR, albumin, growth failure, and the patient’s age when placed on the waiting list. PELD scores can range from a negative value (for ex., -10) to very high numbers (for ex., 50). The exact formula for each of these can be found in the MELD/PELD calculator documentation. Q: Who sends the MELD/PELD data to UNOS? Using the MELD/PELD calculator does NOT automatically put you on the list or change your place on the list that is maintained by UNOS. For patients already on the waiting list, each liver transplant program is responsible for updating the laboratory and clinical values needed to calculate their patients’ MELD or PELD scores. These values must be entered on a regular basis, based on the patient’s current MELD/PELD score. For examp
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