MELD-XI

MELD-XI drops the INR from MELD, so it can be used in patients taking warfarin or other anticoagulants. It has mainly been studied in heart failure, cardiac surgery and ventricular assist devices.

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How it is worked out

MELD-XI = 5.11 × ln bilirubin + 11.76 × ln creatinine + 9.44, both in mg/dL, with values below 1.0 set to 1.0. The minimum score is 9.44.

Reference

Heuman DM, Mihas AA, Habib A, et al. MELD-XI: a rational approach to “sickest first” liver transplantation in cirrhotic patients requiring anticoagulant therapy. Liver Transpl. 2007;13(1):30-37.