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imalittleteapot
New Member


Date Joined Apr 2010
Total Posts : 4
   Posted 4/30/2010 6:34 PM (GMT -7)   
Has anyone had much experience with MELD scores? accuracy? if there was any correlation between a high MELD score and death?

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 4/30/2010 7:36 PM (GMT -7)   
Hello imalittleteapot, and welcome to HealingWell.  
 
I can tell you the higher the meldscore the sicker the patient.   The highest score being 40 I believe.   But if they are in the 20's they are pretty sick.  Each transplant center has out guidelines as to when someone can be placed on the list.   From what I have learned here it seems that with most centers the patients meld has to be in the mid to high teens to be considered.  That was the case at my husband's transplant center.   
 
Take care........thoughts and prayers........ 
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.


hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 4/30/2010 7:49 PM (GMT -7)   

MELD (Model for End-Stage Liver Disease) is basically used for placement on a transplant list.  If you have his most recent blood work results, you can calculate it yourself here:

http://www.mdcalc.com/meld-score-model-for-end-stage-liver-disease-12-and-older

However, he would not even be evaluated for transplant until he has 6 months of documented sobriety, and it doesn't look like he would be willing to stop drinking.

Hugs,

Connie
hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


shadowsghost
Regular Member


Date Joined Apr 2008
Total Posts : 489
   Posted 4/30/2010 7:57 PM (GMT -7)   
Teapot, Meld scores are accurate for that exact moment as to how sick you are, but you can have a very high meld then it can go down rapidly... so it cant be used to say how long you have left that is determined by other factors. My Doug had a meld of 34 which would have had him next in line for a transplant but he also had a minor infection so couldnt get a transplant, once they cleared up the infection re did his meld it was back to 23. So the infection was taking a toll on him, once gone everything improved so there are to many other things to take into acctount.
Sue
When I started counting my blessings my whole world turned around.


**David**
Veteran Member


Date Joined Nov 2009
Total Posts : 3708
   Posted 4/30/2010 9:36 PM (GMT -7)   
I had a MELD score, hovering in the teens for 5 years. It went from 12 up to 18, though it varied each time, up and down. At 18 I had fluid in my legs to a point where I was hospitalized for a week, felt better, got out, score went down to 16. A month later, the same build up, but worse and the MELD score was 18 again. This time, 6 days in the hospital, lost 27 pounds of fluid, felt great. Two days later my score was 24. The next day, I got the call and had a transplant. There's no question my MELD score was related to how well/badly I was feeling. **David**
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