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It's not all about the MELD Score

Transplants | Last Active: Nov 14, 2023 | Replies (217)

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@mickj

@contentandwell I don't think MELD score necessarily correlates with level of cirrhosis. A little over 2 years ago, when I found out I had liver disease, my MELD was 40. My last blood test prior to transplant (10 months ago), my MELD was 14. But I was still getting 7-8 liters of ascites fluid drained per week, so obviously, my liver was still not good.

I think that the fact that creatinine is a factor in the MELD calculation is where some of the disconnect happens. To test my little theory, if my creatinine was at the same level today as it was when I was first diagnosed (over 8), and my sodium, bilirubin and INR were what they are today, my MELD score would be 21. As it is, with all 4 MELD factor in "normal" range and a new liver, my MELD score is 9.

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Replies to "@contentandwell I don't think MELD score necessarily correlates with level of cirrhosis. A little over 2..."

@mickj You were transplanted with a MELD of 14? That's amazing. What region was that in? From what I know, the MELD helps to determine how sick a person is and who is the greatest need of a transplant, which is why cancer in your liver increases your MELD. My daughter's husband's cousin was a developer of the MELD formula. I should have grilled him about it at my daughter's wedding in December 2017.
JK