PELD Score - Age Younger Than 12 years
PELD (Pediatric End-Stage Liver Disease) is used for liver allocation in the OPTN match system
The Pediatric End-Stage Liver Disease (PELD) score is used to prioritize pediatric liver transplantation.
The PELD score is calculated using the following formula:
PELD Score =
0.480 x ln(bilirubin in mg/dL)
+ 1.857 x ln(INR)
- 0.687 x ln(albumin in g/dL)
+ 0.436 if the patient is <1 year old
+ 0.667 if there growth failure
Growth failure is defined as height or weight being less than -2 standard deviations. See page 3 of the following document from UNOS to determine if growth failure is present. https://www.qxmd.com/peldlookup
Scores for patients listed for liver transplantation before the patient's first birthday continue to include the value assigned for age < 1 Year until the patient reached the age of 24 months.
Bourdeaux C et al.