Liver Disease

What is the MELD Scoring System?

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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.

This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
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