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MELD-Na Score
Dec 24, 2017
•
Mark Morgan
categories:
Gastroenterology & Hepatology
MELD-Na Score
This calculator provides the subsequent MELD scores for patients with cirrhosis.
See also MELD score for initial testing (does not include sodium)
See also Child-Pugh Liver Failure Prognosis Calculator
<-- Bilirubin
units are mg/dL
<-- Serum Creatinine
units are mg/dL
<-- Serum Sodium
units are mg/dL
<-- INR
no
YES
<-- Has the patient had dialysis at least twice within the last week?
score=6.431+(3.78*Math.log((1)))+(11.2 * Math.log((1)))+(9.57*Math.log((1)))+(9.57*(dialysis)*Math.log((1)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((1)))+(11.2 * Math.log((1)))+(9.57*Math.log((4)))+(9.57*(dialysis)*Math.log((4)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((1)))+(11.2 * Math.log((1)))+(9.57*Math.log((creatinine)))+(9.57*(dialysis)*Math.log((creatinine)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((1)))+(11.2 * Math.log((INR)))+(9.57*Math.log((1)))+(9.57*(dialysis)*Math.log((1)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((1)))+(11.2 * Math.log((INR)))+(9.57*Math.log((4)))+(9.57*(dialysis)*Math.log((4)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((1)))+(11.2 * Math.log((INR)))+(9.57*Math.log((creatinine)))+(9.57*(dialysis)*Math.log((creatinine)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((bilirubin)))+(11.2 * Math.log((1)))+(9.57*Math.log((1)))+(9.57*(dialysis)*Math.log((1)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((bilirubin)))+(11.2 * Math.log((1)))+(9.57*Math.log((4)))+(9.57*(dialysis)*Math.log((4)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((bilirubin)))+(11.2 * Math.log((1)))+(9.57*Math.log((creatinine)))+(9.57*(dialysis)*Math.log((creatinine)))+(-13.267*(dialysis)
score=6.431+(3.78*Math.log((bilirubin)))+(11.2 * Math.log((INR)))+(9.57*Math.log((1)))+(9.57*(dialysis)*Math.log((1)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((bilirubin)))+(11.2 * Math.log((INR)))+(9.57*Math.log((4)))+(9.57*(dialysis)*Math.log((4)))+(-13.267*(dialysis))
score=6.431+(3.78*Math.log((bilirubin)))+(11.2 * Math.log((INR)))+(9.57*Math.log((creatinine)))+(9.57*(dialysis)*Math.log((creatinine)))+(-13.267*(dialysis))
MELD -->
result
scoreNa=((score)+((1.32)*((137)-(sodium)))+((-0.033)*(score)*((137)-(sodium)))).toFixed(0)
out of 40
display/hide references
References:
#1
United Network for Organ Sharing (UNOS) allocation page
#2
Wiesner (2003) Gastroenterology 124: 91-96
#3
UNOS documentation
#4
Organ Procurement and Transplantation Network (OPTN) Policy Notice dated November 23, 2015 (advising use of MELD-Na for subsequent assessments).
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