{"id":7623,"date":"2020-03-27T13:21:43","date_gmt":"2020-03-27T12:21:43","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=7623"},"modified":"2020-03-27T13:52:57","modified_gmt":"2020-03-27T12:52:57","slug":"score-meld-2016","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/score-meld-2016\/","title":{"rendered":"Score MELD (2016)"},"content":{"rendered":"<p>Le score MELD (Model for End-stage Liver Disease) a \u00e9t\u00e9 d\u00e9velopp\u00e9 initialement pour estimer la survie des patients atteints d\u2019h\u00e9patopathie chronique et qui devaient recevoir un shunt portosyst\u00e9mique intrah\u00e9patique transjugulaire (TIPS). <a href=\"#meld-cite-note-1\">[1]<\/a>. Depuis, le score MELD modifi\u00e9 (ci-dessous) est utilis\u00e9 pour pronostiquer la mortalit\u00e9 \u00e0 trois mois et pour prioriser l\u2019acc\u00e8s \u00e0 la transplantation h\u00e9patique. Le score MELD convient aux patients \u00e2g\u00e9s de \u2265 12 ans uniquement.<\/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                                    Bilirubine\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=\"Bilirubine\" 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                                    Cr\u00e9atinine\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=\"Cr\u00e9atinine\" 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                                    Dialyse\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                                                    Au cours de la semaine pass\u00e9e, au moins 2 dialyses ou au moins 24 h d\u2019h\u00e9mofiltration veino-veineuse continue?\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><span id=\"medical-calculator-meld-value\"><\/span> points MELD<\/h5><\/p>\r\n                    <p>Mortalit\u00e9 \u00e0 3 mois: <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                                    Interpr\u00e9tation\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                                                                    Score MELD\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>Mortalit\u00e9 \u00e0 3 mois <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                                    R\u00e9f\u00e9rences\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' : 'Valeur improbable (Bilirubine): Seules les valeurs comprises entre 0.1 et 800 \u03bcmol\/l sont autoris\u00e9es.',\r\n            'bilirubin_mg_per_dl_out_of_range' : 'Valeur improbable (Bilirubine): Seules les valeurs comprises entre 0,00584 et 46,78362 mg\/dl sont autoris\u00e9es.',\r\n            'kreatinin_micromoles_per_l_out_of_range' : 'Valeur improbable (Cr\u00e9atinine): Seules les valeurs comprises entre 0.1 et 800 \u03bcmol\/l sont autoris\u00e9es.',\r\n            'kreatinin_mg_per_dl_out_of_range' : 'Valeur improbable (Cr\u00e9atinine): Seules les valeurs comprises entre 0.00113 et 9.05 mg\/dl sont autoris\u00e9es.',\r\n            'natrium_out_of_range' : 'Valeur improbable (Sodium): Seules les valeurs comprises entre 100 et 170 mEq\/l \u2259 mmol\/l sont autoris\u00e9es.',\r\n            'inr_out_of_range' : 'Valeur improbable (INR): Seules les valeurs comprises entre 0.1 et 10 sont autoris\u00e9es.',\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Le score MELD (Model for End-stage Liver Disease) a \u00e9t\u00e9 d\u00e9velopp\u00e9 initialement pour estimer la survie des patients atteints d\u2019h\u00e9patopathie chronique et qui devaient recevoir un shunt portosyst\u00e9mique intrah\u00e9patique transjugulaire (TIPS). [1]. Depuis, le score MELD modifi\u00e9 (ci-dessous) est utilis\u00e9 pour pronostiquer la mortalit\u00e9 \u00e0 trois mois et pour prioriser l\u2019acc\u00e8s \u00e0 la transplantation h\u00e9patique. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":783,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-7623","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7623","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/comments?post=7623"}],"version-history":[{"count":2,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7623\/revisions"}],"predecessor-version":[{"id":7883,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7623\/revisions\/7883"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7598"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/media?parent=7623"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}