Re: MELD/MAUREEN/JOHNATHAN

August 23, 2001

> Barb Henshaw wrote:

>

> Guess ya'll missed part of my post. I was referring to LAB TESTING!

> Here is what I wrote:

>

> " Blood testing is done on MELD scores as follow: A score of 0 - 10,

> blood tests done annually. 11 -20, every 6 months. 21 - 30, every 3

> months. A score of 31 or higher (there are no scores over 40) blood

> testing must be done every week. "

I understood what you were saying... I wasn't questioning your

statement, I was just questioning whether they had changed the system to

make 10 the lowest score actually assigned (even if the calculated score

was lower than that). That's what the write up on the UNOS site appears

to suggest, and I was wondering if you had any info on that...

When you calculate the MELD score, it can actually go negative if your

numbers are pretty good, but originally they were going to tweak the

clculation so the lowest score actually assigned was 6 for

non-cholestatic, and 0 for cholestatic... now they've made it so

everyone's the same. They could actually calculate a score lower than

10 still, but the write up on the UNOS page makes it look like they

would assign a 10 to those people. (I hope that makes sense...)

> creatinine of 1.9 - bilirubin of 4.2 - and INR of 1.2

> MELD score = (0.957 x Log 1.9 + (0.378 x Log 4.2 +(1.120 x Log 1.2) =

> 1.361 rounding to the tenth decimal & multiplied by 10 A MELD score

> of 14 Try that and see what you get.

Yup, that's what my web page gives me, as does the Mayo Clinic page.

athan

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