Guideline decision tool · Hepatology
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MELD-Na Score — free guideline decision tool

Sodium-adjusted MELD (UNOS 2016) for end-stage liver disease severity and allocation reference. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Common questions

What is MELD-Na Score?

Sodium-adjusted MELD (UNOS 2016) for end-stage liver disease severity and allocation reference. Instant, browser-side.

How is MELD-Na Score calculated? What is the core formula?

MELD = 3.78·ln(bilirubin) + 11.2·ln(INR) + 9.57·ln(creatinine) + 6.43 (each floored at 1.0, creatinine capped 4.0); MELD-Na adjusts for sodium (125–137) when MELD > 11. Range 6–40.

When is MELD-Na Score used?

Estimate 90-day mortality risk in chronic liver disease; allocation follows your own transplant system's standard.

What are the key clinical points for MELD-Na Score?

Each component is floored at 1.0; creatinine is capped at 4.0. Dialysis ≥ 2× in the week sets creatinine to 4.0. Hyponatraemia raises the score. The score is bounded between 6 and 40.

What are the limits and cautions when using MELD-Na Score?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

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Run MELD-Na Score now

Sodium-adjusted MELD (UNOS 2016) for end-stage liver disease severity and allocation reference. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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Related guideline tools

For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.