The MELD score (Model for End Stage Liver Disease) uses a complex linear regression formula to transform a patient’s bilirubin (a measure of how well the liver is excreting bile), creatinine (a measure of kidney function), and INR (a measure of how thin the blood is) test values into a number between 6 (“normal”) and 40 (“you need a liver transplant”).? This score accurately predicts a patient’s chance of dying over time if no medical or surgical interventions are performed. This scoring system is used to determine where liver transplant candidates are on the waiting list: the sicker your liver, the higher your MELD score, and the higher you are on the list.
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