{"id":28867,"date":"2022-06-22T10:06:47","date_gmt":"2022-06-22T08:06:47","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28867"},"modified":"2022-06-22T10:06:47","modified_gmt":"2022-06-22T08:06:47","slug":"meld-score-2016","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/meld-score-2016\/","title":{"rendered":"MELD Score (2016)"},"content":{"rendered":"<p>The MELD (Model for End-stage Liver Disease) score was originally developed to estimate survival of patients with chronic liver disease who were electively scheduled to receive a transjugular intrahepatic portosystemic shunt (TIPS) <a href=\"#meld-cite-note-1\">[1]<\/a>. Meanwhile, the modified MELD score (used here) is used to predict 3-month mortality and prioritize liver transplantation. The MELD score is only suitable for patients \u2265 12 years of age.<\/p>\n    <div class=\"medical-calculator meld\" id=\"medical-calculator-meld\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-meld-bilirubin\" class=\"col-sm-2 col-form-label\">\r\n                                    Bilirubin\r\n                                <\/label>\r\n                <div class=\"col-sm-10\">\r\n                    <div class=\"input-group mb-2\">\r\n                        <input type=\"text\" name=\"bilirubin\" id=\"medical-calculator-meld-bilirubin\" class=\"form-control\" placeholder=\"< 21\" aria-label=\"Bilirubin\" aria-describedby=\"medical-calculator-meld-bilirubin-unit\" tabindex=\"1\" inputmode=\"decimal\">\r\n                        <div class=\"input-group-append\">\r\n                            <button class=\"btn btn-secondary\" type=\"button\" id=\"medical-calculator-meld-bilirubin-unit\">\u03bcmol\/l \u21cc<\/button>\r\n                        <\/div>\r\n                        <div class=\"invalid-feedback\" id=\"medical-calculator-meld-bilirubin-error\"><\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-meld-kreatinin\" class=\"col-sm-2 col-form-label\">\r\n                                    Creatinine\r\n                                <\/label>\r\n                <div class=\"col-sm-10\">\r\n                    <div class=\"input-group mb-2\">\r\n                        <input type=\"text\" name=\"kreatinin\" id=\"medical-calculator-meld-kreatinin\" class=\"form-control\" placeholder=\"40-106\" aria-label=\"Creatinine\" aria-describedby=\"medical-calculator-meld-kreatinin-unit\" tabindex=\"2\" inputmode=\"decimal\">\r\n                        <div class=\"input-group-append\">\r\n                            <button class=\"btn btn-secondary\" type=\"button\" id=\"medical-calculator-meld-kreatinin-unit\">\u03bcmol\/l \u21cc<\/button>\r\n                        <\/div>\r\n                        <div class=\"invalid-feedback\" id=\"medical-calculator-meld-kreatinin-error\"><\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-meld-natrium\" class=\"col-sm-2 col-form-label\">\r\n                                    Sodium\r\n                                <\/label>\r\n                <div class=\"col-sm-10\">\r\n                    <div class=\"input-group mb-2\">\r\n                        <input type=\"text\" name=\"natrium\" id=\"medical-calculator-meld-natrium\" class=\"form-control\" placeholder=\"136-145\" aria-label=\"Sodium\" aria-describedby=\"medical-calculator-meld-natrium-unit\" tabindex=\"3\" inputmode=\"decimal\">\r\n                        <div class=\"input-group-append\">\r\n                            <button class=\"btn btn-secondary\" type=\"button\" id=\"medical-calculator-meld-natrium-unit\">mmol\/l \u21cc<\/button>\r\n                        <\/div>\r\n                        <div class=\"invalid-feedback\" id=\"medical-calculator-meld-natrium-error\"><\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-meld-inr\" class=\"col-sm-2 col-form-label\">INR<\/label>\r\n                <div class=\"col-sm-10\">\r\n                    <input type=\"text\" class=\"form-control\" name=\"inr\" id=\"medical-calculator-meld-inr\" placeholder=\"1.0-1.2\" aria-label=\"INR\" aria-describedby=\"\" tabindex=\"4\" inputmode=\"decimal\">\r\n                    <div class=\"invalid-feedback\" id=\"medical-calculator-meld-inr-error\"><\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-2\">\r\n                                    Dialysis\r\n                                <\/div>\r\n                <div class=\"col-sm-10\">\r\n                    <div class=\"custom-control custom-checkbox\">\r\n                        <input class=\"custom-control-input\" type=\"checkbox\" name=\"dialysis\" id=\"medical-calculator-meld-dialysis\" tabindex=\"5\">\r\n                        <label class=\"custom-control-label\" for=\"medical-calculator-meld-dialysis\">\r\n                                                    Dialysis at least twice in the past week or at least 24 hours of continuous veno-venous hemodialysis?\r\n                                                <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-meld-result-text\" class=\"result-text\">\r\n                    <p><h5>MELD <span id=\"medical-calculator-meld-value\"><\/span> points<\/h5><\/p>\r\n                    <p>3-month mortality: <span id=\"medical-calculator-meld-three-month-mortality\"><\/span><\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                    Interpretation\r\n                                <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th scope=\"col\">\r\n                                                                    MELD Score\r\n                                                                <\/th>\r\n                                <th scope=\"col\" class=\"table-col-a\">&le; 9<\/th>\r\n                                <th scope=\"col\" class=\"table-col-b\">10-19<\/th>\r\n                                <th scope=\"col\" class=\"table-col-c\">20-29<\/th>\r\n                                <th scope=\"col\" class=\"table-col-d\">30-39<\/th>\r\n                                <th scope=\"col\" class=\"table-col-e\">40<\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr>\r\n                                <td>3-month mortality <a href=\"#meld-cite-note-3\">[3]<\/a><\/td>\r\n                                <td class=\"table-col-a\">1.9 %<\/td>\r\n                                <td class=\"table-col-b\">6.0 %<\/td>\r\n                                <td class=\"table-col-c\">19.6 %<\/td>\r\n                                <td class=\"table-col-d\">52.6 %<\/td>\r\n                                <td class=\"table-col-e\">71.3 %<\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                    References\r\n                                <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"meld-cite-note-1\">Kamath PS, Wiesner RH, Malinchoc M et al. A model to predict survival in patients with end-stage liver\r\ndisease. Hepatology 2001; 33: 464-470<\/li>\r\n                    <li id=\"meld-cite-note-2\">Organ Procurement and Transplantation Network. Organ Procurement and Transplantation Network\r\nPolicies. OPTN Policies 2019:<\/li>\r\n                    <li id=\"meld-cite-note-3\">Wiesner R, Edwards E, Freeman R et al. Model for end-stage liver disease (MELD) and allocation of\r\ndonor livers. Gastroenterology 2003; 124: 91-96<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_meld_messages = {\r\n            'bilirubin_micromoles_per_l_out_of_range' : 'Unlikely value (bilirubin): values between 0.1 and 800 \u03bcmol\/l allowed.',\r\n            'bilirubin_mg_per_dl_out_of_range' : 'Unlikely value (bilirubin): values between 0,00584 and 46.78362 mg\/dl allowed.',\r\n            'kreatinin_micromoles_per_l_out_of_range' : 'Unlikely value (creatinine): Values between 0.1 and 800 \u03bcmol\/l allowed.',\r\n            'kreatinin_mg_per_dl_out_of_range' : 'Unlikely value (creatinine): Values between 0.00113 and 9.05 mg\/dl allowed.',\r\n            'natrium_out_of_range' : 'Unlikely value (sodium): values between 100 and 170 mEq\/l \u2259 mmol\/l allowed.',\r\n            'inr_out_of_range' : 'Unlikely value (INR): values between 0.1 and 10 allowed.',\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>The MELD (Model for End-stage Liver Disease) score was originally developed to estimate survival of patients with chronic liver disease who were electively scheduled to receive a transjugular intrahepatic portosystemic shunt (TIPS) [1]. Meanwhile, the modified MELD score (used here) is used to predict 3-month mortality and prioritize liver transplantation. The MELD score is only [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":129,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28867","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28867","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28867"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28867\/revisions"}],"predecessor-version":[{"id":28868,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28867\/revisions\/28868"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}