Description

McDiarmid et al developed the Pediatric End-Stage Liver Disease (PELD) model to help evaluate children with end-stage liver disease. This can help identify patients for liver transplantation.


 

Parameters:

(1) age

(2) serum albumin in g/dL

(3) serum total bilirubin in mg/dL

(4) International Normalized Ratio (INR)

(5) height (and growth failure)

Parameter

Finding

Points

age in years

< 1 year of age

1

 

>= 1 year of age

0

growth failure

height > 2 standard deviations below mean for age (Z score < -2)

1

 

height <= 2 standard deviations below mean for age

0

 

PELD score =

= 10 * ((0.463 * (points for age)) + (0.667 * (points for growth failure)) - (0.687 * LN(albumin)) + (0.480 * LN(total bilirubin)) + (1.857 * LN(INR)))

 

where:

• LN = natural logarithm, base e

 


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