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📊 MELD 3.0 Score Calculator

Calculate the MELD 3.0 score for end-stage liver disease, the latest version adding female sex, albumin and interaction terms.

Clinical takeaway

Adds female sex (+1.33) and albumin to MELD-Na, lowering the creatinine cap to 3.0 mg/dL.

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When to use

Estimate short-term mortality and prioritize liver transplant candidates (adults ≥ 12 y).

How it works

MELD 3.0 = 1.33(if female) + 4.56·ln(bilirubin) + 0.82·(137−Na) − 0.24·(137−Na)·ln(bilirubin) + 9.09·ln(INR) + 11.14·ln(creatinine) + 1.85·(3.5−albumin) − 1.83·(3.5−albumin)·ln(creatinine) + 6. Values truncated (labs floored at 1, Na 125–137, albumin 1.5–3.5, creatinine capped at 3.0).

Key points

  • Adds female sex (+1.33) and albumin to MELD-Na, lowering the creatinine cap to 3.0 mg/dL.
  • Improves prediction and reduces sex disparity in allocation.
  • Inputs are auto-truncated per the official rule.

References

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

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

SexFemale
Total bilirubin3.0 mg/dL
INR1.8
Creatinine1.5 mg/dL
Sodium130 mmol/L
Albumin3.0 g/dL
Dialysis ≥ 2× in past week / CVVHDNo

MELD 3.027

  • Estimated 90-day survival83%
SexMale
Total bilirubin3.0 mg/dL
INR1.8
Creatinine1.5 mg/dL
Sodium130 mmol/L
Albumin3.0 g/dL
Dialysis ≥ 2× in past week / CVVHDYes

MELD 3.032

  • Estimated 90-day survival63%

Frequently asked questions

What is MELD 3.0 Score Calculator?
Calculate the MELD 3.0 score for end-stage liver disease, the latest version adding female sex, albumin and interaction terms.
How is MELD 3.0 Score Calculator calculated? What is the core formula?
MELD 3.0 = 1.33(if female) + 4.56·ln(bilirubin) + 0.82·(137−Na) − 0.24·(137−Na)·ln(bilirubin) + 9.09·ln(INR) + 11.14·ln(creatinine) + 1.85·(3.5−albumin) − 1.83·(3.5−albumin)·ln(creatinine) + 6. Values truncated (labs floored at 1, Na 125–137, albumin 1.5–3.5, creatinine capped at 3.0).
When is MELD 3.0 Score Calculator used?
Estimate short-term mortality and prioritize liver transplant candidates (adults ≥ 12 y).
What are the key clinical points for MELD 3.0 Score Calculator?
Adds female sex (+1.33) and albumin to MELD-Na, lowering the creatinine cap to 3.0 mg/dL. Improves prediction and reduces sex disparity in allocation. Inputs are auto-truncated per the official rule.
What are the limits and cautions when using MELD 3.0 Score Calculator?
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.
How is MELD 3.0 Score Calculator calculated in practice? Can you show a worked example?
Inputs: Sex Female, Total bilirubin 3.0 mg/dL, INR 1.8, Creatinine 1.5 mg/dL, Sodium 130 mmol/L, Albumin 3.0 g/dL, Dialysis ≥ 2× in past week / CVVHD No → Result: MELD 3.0 27(Estimated 90-day survival: 83%) Inputs: Sex Male, Total bilirubin 3.0 mg/dL, INR 1.8, Creatinine 1.5 mg/dL, Sodium 130 mmol/L, Albumin 3.0 g/dL, Dialysis ≥ 2× in past week / CVVHD Yes → Result: MELD 3.0 32(Estimated 90-day survival: 63%)

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