One of the exclusion criteria for the original data set was absence of acute reversible conditions such as spontaneous bacterial peritonitis or prerenal azotemia secondary to dehydration. The new MELD scores are calculated first by determining the traditional MELD score as an initial score (MELD(i)) if the initial MELD(i) score is 12 or greater.It ranks your degree of sickness, which shows how much you need a liver transplant. The original MELD score is a prospectively developed and validated chronic liver disease severity scoring system that uses a patient's laboratory values for serum bilirubin, serum creatinine, and the international normalized ratio (INR) for prothrombin time to predict three-month survival ( original MELD score ). Several conditions are “standard MELD exceptions” and receive a different score (see Next Steps > Critical Actions): hepatocellular carcinoma, hepatopulmonary syndrome, portopulmonary hypertension, familial amyloid polyneuropathy, primary hyperoxaluria, cystic fibrosis, hilar cholangiocarcinoma and hepatic artery thrombosis. A MELD score is a number that ranges from 6 to 40, based on lab tests.Scores range from 6 to 40, with higher scores correlating with increased severity of liver dysfunction and higher three-month mortality.Results: Seventeen major and 52 minor resections were. The MELD Score predicts three-month survival in patients (age 12+) with liver cirrhosis. MELD score was associated with post-operative mortality and morbidity, hospital stay and 3-year survival.MELD can fluctuate based on your current condition, with variations from a few points as lab values vary to a larger increase if you have an infection or an acute decompensation (worsening of your liver disease). MELD can be used on any patient with end stage liver disease irrespective of cirrhosis etiology. The MELD score ranges from 6 to 40, and is a measure of how severe a patient’s liver disease is.Values should be no more than 48 hours old.
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