GI ToolsGastroenterology and hepatology

PELD score

The PELD score ranks children under 12 for liver transplant. This is the original PELD. The United States changed to PELD-Cr, which adds creatinine, in 2023; it is not included here.

Blood results
Age
Growth failure (more than 2 standard deviations below the mean for age)

Enter the values above.

How it is worked out

PELD = 10 × (0.480 × ln bilirubin + 1.857 × ln INR − 0.687 × ln albumin + 0.436 if under 1 year + 0.667 if growth failure), with bilirubin in mg/dL and albumin in g/dL, and values below 1.0 set to 1.0. The score can be negative.

Reference

McDiarmid SV, Anand R, Lindblad AS; SPLIT Research Group. Development of a pediatric end-stage liver disease score to predict poor outcome in children awaiting liver transplantation. Transplantation. 2002;74(2):173-181.