What is the MELD Scoring System?

Johns Hopkins Medicine
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The MELD Scoring System (Model End-Stage Liver Disease) was developed by UNOS – the United Network for Organ Sharing – that makes transplant rules for the nation to follow. This system uses blood tests to calculate how sick a person is. The score is based three blood test results: serum creatinine (kidney function), serum bilirubin (liver damage), and INR (clotting). It is important to get your blood tests done on schedule because the results indicate your MELD score - which range from 6 (less ill) to 40 (gravely ill) and your place on the waiting list.For a small number of liver patients on the list, there are conditions where these blood tests do not tell how sick they are. Some special liver conditions such as a liver cancer may receive additional points. Consideration for transplant based on scoring varies from hospital to hospital, but a score in the low to mid 20‘s is probably typical.The list of patients and scoring can change daily: Some patients get better for a while and their scores go down, while others get sicker and their scores rise. Some patients drop off the list and new people are added.

Continue Learning about Liver Disease

Liver Disease

Liver Disease

The liver assists in both digestion and cleaning toxins from your blood. When the liver is damaged, symptoms often include yellow color in skin and eyes, dark urine, persistent itching, and fatigue. The causes can be viral, as in ...

Hepatitis A-E, or can be due to scarring, cirrhosis, or a liver cancer. You can be at risk for liver disease if you drink heavily, have body piercings, work in health care or another job that exposes you to other people's body fluids. Tests for liver disease include blood tests, scans, and biopsy.
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