MELDNa/MELD-Na Score for Liver Cirrhosis
MELD-Na Score for Liver Cirrhosis
mg/dL
mg/dL
mEq/L
Dialysis (at least twice in the past week)
MELD-Na Score:
–
–
–
Adds sodium to the MELD model for liver cirrhosis.
Why Use
The MELD-Na may improve upon the MELD Score for liver cirrhosis.
Formula
MELD-Na = MELD Score – Na – 0.025 × MELD × (140-Na) + 140 Sodium is limited in a range of 125-140, and if outside of these bounds, is set to the nearest limit.
Advice
Patients should be evaluated for transplant if no reversible causes of cirrhosis can be identified.
More Information
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 .