It is based on key lab test results used to measure liver function.
A MELD score interpretation should always be considered within the context of clinical findings and your specific medical history.
This article explains how a MELD score is calculated.
Tharakorn / Stock Photo
A modified MELD score (the PELD score) is used for children under the age of 12.
With children, age less than 12 months or the failure to grow are also considered.
There are several reasons for why your healthcare provider may recommend calculating your MELD score.
This importance is better understood by looking at the success rates of liver transplantation in appropriate situations.
In 2016, serum sodium was added to the MELD score formula, with other changes currently being evaluated.
Limitations
The MELD score is a statistical test.
There are other limitations.
People on anti-coagulant blood thinners have an artificially elevated INR that is not offset by the MELD score formula.
Further, any blood draw or lab variability could also reduce accuracy.
It’s also important to bring a caregiver with whom you are comfortable in being honest.
you’re free to also can ask for clarification about anything you do not understand.
Standard MELD Exceptions
A MELD score is modified in certain situations.
These include:
Can a MELD Score Improve?
98(45):e17862.
2017;74(1):e24-e31.
2017; 2:168. doi:10.21037/amj.2017.10.10
University of Wisconsin School of Medicine and Public Health.MELD scores and PELD scores.
2018 Nov;113(11):1629-1638. doi:10.1038/s41395-018-0247-9.
12(10):e0186301.
2019;6(1):e000342.
2018;113(2):175-194. doi:10.1038/ajg.2017.469
U.S. Department of Health and Human Services.
Organ Procurement and Transplantation web link.MELD calculator.
