HomeClinical ToolsMELD-Na

🫀 MELD-Na Score Calculator

Calculate the MELD-Na score (UNOS) to estimate 90-day mortality and transplant priority in end-stage liver disease.

MELD-Na Score Calculator

Bilirubin (mg/dL)
INR
Creatinine (mg/dL)
Sodium (mmol/L)
Dialysis ≥ 2× in past week

When to use

Prognosis and liver-transplant prioritisation.

How it works

MELD = 3.78·ln(bilirubin) + 11.2·ln(INR) + 9.57·ln(creatinine) + 6.43; labs floored at 1.0, creatinine capped at 4.0 (or with dialysis). MELD-Na adds a sodium term when MELD > 11.

Key points

  • Higher score = higher 90-day mortality and transplant priority.
  • Creatinine is set to 4.0 with dialysis ≥ 2×/week.
  • Sodium is bounded to 125–137 in the formula.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Other tools

🫀 Child-Pugh🧫 FIB-4🫀 Maddrey DF🫀 West Haven

中文版 →