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The Model for End-Stage Liver Disease (MELD) is a numerical score based on a patient’s risk of dying while waiting for a liver transplant. Mortality at 90 days for alcoholic hepatitis can also be used to guide in treatment decisions in patients with alcoholic hepatitis, especially if complicated by ascites and/or encephalopathy.
Note: The maximum serum creatinine considered within the MELD score is 350 µmol/L; if a patient has had dialysis more than twice in the past week or has a Cr > 350 µmol/L, then the maximum value will be entered.
References
W Dunn, LH Jamil et al. MELD accurately predicts mortality in patients with alcoholic hepatitis. Hepatology 2005, 41:353
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M Sheth et al. Utility of the MELD score in assessing prognosis of patients with alcoholic hepatitis. BMC Gastroenterolog 2002;2:2
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