10/10/2023 0 Comments Meld score calculator without sodiumThese patients were followed from their first listing to the time of delisting or until 90 days after listing. To test whether the use of the MELD-Na score in the Eurotransplant region (which includes Austria, Belgium, Croatia, Germany, Hungary, Luxembourg, the Netherlands, and Slovenia) could improve outcomes, the Leiden team evaluated 5,223 patients who were allocated onto the Eurotransplant liver transplant waiting list between 20 using their MELD scores. The MELD-Na score, which includes serum sodium in the risk calculation, was adopted in the United States in 2016 for liver transplant prioritization, but is not yet used routinely across Europe. Although MELD has been very successful in prioritizing patients, it does not accurately reflect the risk of death in patients with hyponatremia (low sodium levels), which is an important predictor of mortality in patients on liver transplant lists. The MELD score, which estimates mortality risk for patients with end-stage liver disease using laboratory variables, has been used to prioritize patients on liver transplant lists for almost 20 years. ![]() ![]() Researchers from Leiden University Medical Center in the Netherlands evaluated more than 5,000 patients with chronic liver disease who had been allocated to the Eurotransplant liver waiting list using the MELD score, and found that more than one-quarter of those who died within 3 months of being listed might have received a transplant if the MELD-Na score had been used instead. Compared with the current practice (MELD score), prioritizing patients for liver transplantation using Model for End-stage Liver Disease Sodium (MELD-Na) score could decrease 90-day waiting-list mortality, according the results of a large study using data from the Eurotransplant network.
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