MELD-Na
Sodium-adjusted MELD, the score used to rank liver transplant waiting lists.
When to use it. Estimating 90-day mortality in chronic liver disease and prioritising for transplantation.
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Limits of this score. Derived and validated in chronic liver disease — it does not describe acute liver failure. Transplant programmes also grant exception points for conditions such as hepatocellular carcinoma that MELD does not capture, so a listing decision is never the raw score alone.
Sources
- Kim WR, et al. Hyponatremia and mortality among patients on the liver-transplant waiting list. N Engl J Med. 2008.
- OPTN Policy 9: Allocation of Livers and Liver-Intestines.
Where this is written from. This site is written from Indian clinical practice. Drug availability and brand names, vaccination schedules, national health programmes and some reference cut-offs differ between countries — a schedule or a threshold that is standard here may not be standard where you are. If you are reading outside India, check anything on this page against your own country’s guidance before you act on it.
Educational use only — not medical advice. Never a substitute for clinical judgement.