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📊 MELD 3.0 Score Calculator

Calculate the MELD 3.0 score for end-stage liver disease, the latest version adding female sex, albumin and interaction terms.

MELD 3.0 Score Calculator

Sex
Total bilirubin (mg/dL)
INR
Creatinine (mg/dL)
Sodium (mmol/L)
Albumin (g/dL)
Dialysis ≥ 2× in past week / CVVHD

When to use

Estimate short-term mortality and prioritize liver transplant candidates (adults ≥ 12 y).

How it works

MELD 3.0 = 1.33(if female) + 4.56·ln(bilirubin) + 0.82·(137−Na) − 0.24·(137−Na)·ln(bilirubin) + 9.09·ln(INR) + 11.14·ln(creatinine) + 1.85·(3.5−albumin) − 1.83·(3.5−albumin)·ln(creatinine) + 6. Values truncated (labs floored at 1, Na 125–137, albumin 1.5–3.5, creatinine capped at 3.0).

Key points

  • Adds female sex (+1.33) and albumin to MELD-Na, lowering the creatinine cap to 3.0 mg/dL.
  • Improves prediction and reduces sex disparity in allocation.
  • Inputs are auto-truncated per the official rule.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Other tools

🫀 Child-Pugh🫀 MELD-Na🧫 FIB-4🫀 Maddrey DF

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