📊 MELD 3.0 Score Calculator
UseEstimate short-term mortality and prioritize liver transplant candidates (adults ≥ 12 y).
StrataSource: Kim WR 2021 Gastroenterology (formula in main text; 90-day survival per Supplementary Table 3b, PMID …
SourceKim WR, et al. MELD 3.0: The Model for End-Stage Liver Disease Updated for the Modern Era. Gastroen…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Adds female sex (+1.33) and albumin to MELD-Na, lowering the creatinine cap to 3.0 mg/dL.
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
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.
| 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 |
→MELD 3.027
- Estimated 90-day survival：83%
| 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 |
→MELD 3.032
- Estimated 90-day survival：63%
Verification & sources · governance
FAQ
Frequently asked questions
- 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.
- Does MELD 3.0 Score Calculator upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- 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%）