MELD 3.0
The current US liver transplant allocation score, adding sex and albumin to MELD-Na.
Inputs
1 of 7SexUsed by the equation
mEq/L
Stable value
Dialysis twice in the past week (or CVVHD 24 h)
Patient values are shared with every calculator.
When to use
- Cirrhosis prognosis and transplant listing (OPTN since 2023).
Pearls and pitfalls
- Bounds: bilirubin, INR, creatinine at least 1.0; creatinine at most 3.0 (3.0 if dialysis); sodium 125–137; albumin 1.5–3.5.
Why use
Reduces the disadvantage women had under MELD-Na.
1.33 (female) + 4.56 ln(bili) + 0.82 (137 − Na) − 0.24 (137 − Na) ln(bili) + 9.09 ln(INR) + 11.14 ln(Cr) + 1.85 (3.5 − Alb) − 1.83 (3.5 − Alb) ln(Cr) + 6