![]() ![]() Conditions that call for exception points include: ![]() To do this, it submits paperwork to a regional review board. If a transplant center believes that your MELD score doesn’t accurately represent how urgently you need a liver transplant, it can try to add “exception points” to your score. How close you are, geographically, to the donated liver.The supply of, and demand for, livers in your region.Other things affect when you could be offered a liver, including To learn about your MELD score, you can talk with your doctor or enter your most recent lab results into a calculator on the Organ Procurement and Transplantation Network’s website.Ī MELD score can’t predict your wait time on the transplant list. 25 or higher: It will be recalculated every week.19-24: It will be recalculated once a month.11-18: It will be recalculated every 3 months.Under 10: It will be recalculated once a year.Your medical condition, treatment, and previous MELD score all affect how often that’s done. You’ll get your MELD score recalculated from time to time. Serum sodium level, which shows the concentration of sodium in your blood.INR (international normalized ratio), which reflects how well your liver makes factors needed for blood clots.Bilirubin level, which shows how well your liver clears a substance called bile.Creatinine level, which is related to how well your kidneys are working.Your MELD score is based on results from several lab tests, including your: Your MELD score is one of several things that tells your place on the list. If your doctor says you need a liver transplant, you’ll be added to a waiting list managed by a national organization called the United Network for Organ Sharing. Reasons why you might need a liver transplant include having conditions that cause liver failure, such as: The higher the number, the more urgent your case is. It ranks your degree of sickness, which shows how much you need a liver transplant. MELD stands for "model for end-stage liver disease." Doctors use a similar system, called PELD (pediatric end-stage liver disease), for children younger than 12.Ī MELD score is a number that ranges from 6 to 40, based on lab tests. If you’re an adult with liver disease that may call for a transplant, your MELD score helps to tell how quickly you might need it. MELD and Child-Pugh scores measure the seriousness of your liver disease. ![]()
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