MELD Score (Original)

Original Model for End-Stage Liver Disease score predicting 3-month mortality in advanced liver disease.

mg/dL

Total serum bilirubin. Values <1.0 set to 1.0.

mg/dL

Serum creatinine. Values <1.0 set to 1.0. If dialysis twice in past week, set to 4.0.

International normalized ratio. Values <1.0 set to 1.0.

Patient received dialysis at least twice in the prior week

Clinical Notes & Warnings

  • Superseded by MELD-Na in 2016 for US transplant allocation.
  • MELD 3.0 (with albumin and sex) is the current US standard.
  • Not for acute liver failure.
  • For ages 12 and older.

Originally developed by Malinchoc et al. for TIPS prognosis. Kamath et al. validated for 3-month mortality.