🧒 PELD Score (Pediatric End-Stage Liver Disease)
UseStratify pediatric liver disease and support transplant teaching. Use MELD from age 12.
StrataHigher scores mark greater short-term mortality. Listing may use PELD-Cr.
LimitsDoes not replace a full transplant evaluation. · Lab error is amplified by logarithms. · Acute liver failure is not scored by PELD alone.
SourceMcDiarmid SV, Anand R, Lindblad AS. Development of a pediatric end-stage liver disease score to pre…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
For age <12 years.
When to use
Stratify pediatric liver disease and support transplant teaching. Use MELD from age 12.
How it works
PELD = 10 × [0.480 ln(bilirubin mg/dL) + 1.857 ln(INR) − 0.687 ln(albumin g/dL) + 0.436×(age<1 y) + 0.667×growth failure] Bilirubin/INR floored at 1.0; albumin capped at 3.5 g/dL.
Key points
- For age <12 years.
- Albumin is a negative term, capped at 3.5 g/dL.
- Infant age and growth failure add points.
References
- McDiarmid SV, Anand R, Lindblad AS. Development of a pediatric end-stage liver disease score to predict poor outcome in children awaiting liver transplantation. Transplantation 2002;74:173-181
- OPTN. Pediatric end-stage liver disease (PELD) score policy (bilirubin/INR floor 1.0; albumin cap 3.5 g/dL)
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.
| Age | 0.5 |
|---|---|
| Age unit | years |
| INR | 1.8 |
| Total bilirubin | 80 |
| Bilirubin unit | µmol/L |
| Albumin | 28 |
| Albumin unit | g/L |
| Growth failure (height or weight < −2 SD) | Yes |
→PELD22
- Age factor (<1 y)：1
- Growth failure：Yes
- Bilirubin used：4.68 mg/dL
| Age | 0.5 |
|---|---|
| Age unit | months |
| INR | 1.8 |
| Total bilirubin | 80 |
| Bilirubin unit | mg/dL |
| Albumin | 28 |
| Albumin unit | g/dL |
| Growth failure (height or weight < −2 SD) | No |
→PELD28
- Age factor (<1 y)：1
- Growth failure：No
- Bilirubin used：80 mg/dL
Verification & sources · governance
FAQ
Frequently asked questions
- Does PELD Score (Pediatric End-Stage Liver Disease) 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 PELD Score (Pediatric End-Stage Liver Disease) calculated in practice? Can you show a worked example?
- Inputs: Age 0.5, Age unit years, INR 1.8, Total bilirubin 80, Bilirubin unit µmol/L, Albumin 28, Albumin unit g/L, Growth failure (height or weight < −2 SD) Yes → Result: PELD 22（Age factor (<1 y): 1, Growth failure: Yes, Bilirubin used: 4.68 mg/dL） Inputs: Age 0.5, Age unit months, INR 1.8, Total bilirubin 80, Bilirubin unit mg/dL, Albumin 28, Albumin unit g/dL, Growth failure (height or weight < −2 SD) No → Result: PELD 28（Age factor (<1 y): 1, Growth failure: No, Bilirubin used: 80 mg/dL）