Internal Medicine

MELD-Na Score Calculator

MELD-Na Score Calculator

MELD-Na Score

Quantifies end-stage liver disease severity for prioritizing patients (age ≥12) on transplant waiting lists.
Dialysis Status
≥2 treatments in prior 7 days OR CVVHD for ≥24h
Total Bilirubin
Norm: 0.3 – 1.9 mg/dL
Creatinine
Norm: 0.7 – 1.3 mg/dL
INR
International Normalized Ratio
Sodium
Norm: 136 – 145 mEq/L
6
Score
Low Priority
3-Month Mortality: -%
MELD Score3-Month Mortality
≤ 91.9%
10 – 196.0%
20 – 2919.6%
30 – 3952.6%
≥ 4071.3%
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Exception Cases: HCC (Milan criteria), Hepatopulmonary Syndrome, and Portopulmonary HTN often receive exception points.
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Reversibility: Address spontaneous bacterial peritonitis or dehydration before final scoring.
Reference: OPTN/UNOS Policy, January 2016. Kamath PS, et al. MELD and Prediction of Survival in Liver Disease. Hepatology. 2007.
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Reviewed by ·
Semahattin Serkan Sezer MD

Pulmonologist and Intensive Care Specialist specializing in clinical informatics and the development of evidence-based decision support tools for healthcare professionals.