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    MELDNa/MELD-Na Score for Liver Cirrhosis

    Adds sodium to the MELD model for liver cirrhosis.
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    INSTRUCTIONS

    Note: The Organ Procurement and Transplantation Network recently incorporated sodium into their new MELD Score as of January 2016, using a different model than MELD-Na. We recommend using the new MELD Score primarily.
    Why Use

    The MELD-Na may improve upon the MELD Score for liver cirrhosis.

    No
    Yes
    mg/dL
    mg/dL
    mEq/L

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights

    Advice

    Patients should be evaluated for transplant if no reversible causes of cirrhosis can be identified.

    Formula

    MELD-Na = MELD Score - Na - 0.025 x MELD x (140-Na) + 140

    Sodium is limited in a range of 125-140, and if outside of these bounds, is set to the nearest limit.

    Facts & Figures

    Interpretation:

    MELD-Na Score

    90-day mortality

    <17

    <2%

    17-20

    3-4%

    21-22

    7-10%

    23-26

    14-15%

    27-31

    27-32%

    ≥32

    65-66%

    The MELD-Na has been found to have a better fit for mortality prediction compared to the MELD score alone.

    From Kim 2008.

    Dr. W. Ray Kim

    About the Creator

    W. Ray Kim, MD, is the Chief of the Division of Gastroenterology & Hepatology at Stanford University. He formerly studied in Seoul, South Korea, and completed fellowships in gastroenterology and hepatology at the Mayo Clinic.

    To view Dr. W. Ray Kim's publications, visit PubMed

    About the Creator
    Dr. W. Ray Kim
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