A wrapper for the vectorised function meld() to calculate the MELD score, but using mg/dl for bilirubin and creatinine. If the patient is on CVVH or has been dialysed at least twice in the same week, the dialysis argument should be set to 1, which changes the creatinine level used in the formula to 4mg/dl. Following UNOS guidelines, the values for INR as well bilirubin and creatinine are set to a minimum value of 1 if less than 1.0

meld_US(INR, bili, creat, dialysis)

Arguments

INR

numeric vector ofINR

bili

numeric vector of bilirubin in mg/dl

creat

numeric vector of creatinine in mg/dl

dialysis

numeric vector of whether on dialysis/CVVH (1 = yes, 0 = no)

Value

MELD score

Details

Reference: Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease. Hepatology 2001; 33:464-470.

Examples

meld_US(INR = 2.0, bili = 2.3, creat = 1.9, dialysis = 1)
#> [1] 30.60848