MELD-Na

End-stage liver disease severity with sodium (UNOS 2016).

Previewv0.1.0 · Pending clinical review

Inputs

0 of 4
Stable value
mEq/L
Dialysis twice in past week

Patient values are shared with every calculator.

When to use
  • Cirrhosis prognosis.
Pearls and pitfalls
  • OPTN moved to MELD 3.0 for allocation in 2023; MELD-Na remains widely used clinically.
  • Creatinine is set to 4 if dialysis twice in the past week.
Why use

Shows every bound applied.

MELD=10×(0.957×ln(Cr)+0.378×ln(Bili)+1.120×ln(INR))+6.43
MELDNa=MELD+1.32×(137−Na)−0.033×MELD×(137−Na)
where
Cr
Creatinine, mg/dL (1 to 4)
Bili
Bilirubin, mg/dL (minimum 1)
INR
Minimum 1
Na
Sodium, mEq/L (125 to 137)

The sodium term applies only when MELD is above 11.

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