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    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
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    • Med treatment and moreTreatment
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    Patent Pending

    PELD Score (Pediatric End-Stage Liver Disease) (younger than 12)

    Calculates the pediatric version of the MELD score for liver cirrhosis severity and transplant planning.
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    When to Use

    Similar to the MELD score, but for pediatrics: determines prognosis and prioritizes receipt of liver transplantation.

    years
    mg/dL
    g/dL

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    Evidence
    Creator Insights

    Advice

    The MELD score helps to estimate prognosis for pediatric patients with end-stage liver disease, and is used to prioritize transplant recipients.

    Formula

    PELD Score = 10* (0.480 * ln(bilirubin) + 1.857 * ln(INR) - 0.687 * ln(albumin) + 0.436 (if patient < 1 year: scores for patients listed for liver transplantation before the patient's first birthday continue to include the value assigned for age (< 1 Year) until the patient reaches the age of 24 months) + 0.667 (if patient has growth failure (<-2 Standard deviation))

    Literature

    Dr. Suzanne McDiarmid

    About the Creator

    Suzanne McDiarmid, MD, is the chief of pediatric gastroenterology and the director of the UCLA Intestinal Transplant Program and Intestinal Failure Center at UCLA Medical Center. She is also a professor of pediatrics at the UCLA School of Medicine. Dr. McDiarmid researches liver and pancreatic transplantation.

    To view Dr. Suzanne McDiarmid's publications, visit PubMed