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MELD-XI Score

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Posted 4/22/2014 5:22 PM (GMT 0)
Does anyone here know how to calculate the MELD-XI Score? I have searched for a calculator or an example and can't find one. My wife has portal vein pvt and is taking Coumadin and I understand they calculate the meld score without using INR.

Thanks for your help
Posted 4/22/2014 8:04 PM (GMT 0)
I found a study in which this is discussed. Maybe you can search back for the referenced articles and find what you need.

Page 1352, item (6). onlinelibrary.wiley.com/doi/10.1111/j.1600-6143.2010.03064.x/pdf

I hadn't heard of this before, but it was interesting to find out about. LIkely not so exciting for you. thay make much of the viarability of labs in calculating hte INR in the first place and suggest that some centers might "game the system" before transplant by sending patient labs to centers with consistently high readings. Grrr.

And I found a calculator (which is more actual math that the ones we use for the regular MELD...sorry, find a math teacher quick:

www.ncbi.nlm.nih.gov/pubmed/23406689

Here is the forumla if one of our folks can do this stuff:

MELD-XI=11.76(loge creatinine)+5.112(loge total bilirubin)+9.44

Let us know if this helped.

Carol
Posted 4/22/2014 8:59 PM (GMT 0)
You need determine the logarithm of your creatine and bilirubin. You can do this in excel, the formula is =ln(#). I made an excel sheet that has a spot to put creatine and bili in. I tested it by putting mine in, and then raised the numbers. Basically the higher your creatine and bili go, the higher your MELD without INR goes. Right now my normal MELD is around a 8 or a 9. My MELD-XI was 4.006463. I verified this by putting higher numbers in, I used like 2.0 for creatine and 20 for bili and got a MELD-XI 32.90559.

I will email you my spreadsheet if you want it.
Posted 4/22/2014 9:01 PM (GMT 0)
My email is viewable, cick on my profile name and email me. Just put MELD-XI in title and I can email the file to you. Or if you give me the creatine and bili I can put them in and calculate it for you.
Posted 4/22/2014 9:12 PM (GMT 0)
Bil = 1.7 and cre = .67

I sure would like a copy of the spreadsheet
Posted 4/22/2014 9:26 PM (GMT 0)
Just last month her bili was 4.9
Posted 4/22/2014 9:45 PM (GMT 0)
I just knew someone around here would think =ln(#) would be as easy as a walk in the park...I am bewildered. And in awe.

Thanks so much, Sean!

Carol
Posted 4/22/2014 9:55 PM (GMT 0)
I was trying to figure it out but one of my strong points was not math :-)
Posted 4/22/2014 10:01 PM (GMT 0)
Sent

I could not get that without excel. I just knew what it was since I do analysis for a casino.
Posted 4/22/2014 10:03 PM (GMT 0)
And all this time I thought you were a doctor or professor or something.
Posted 4/22/2014 10:03 PM (GMT 0)
B1 and B2 are celks you input. Fotgot to mention that.
Posted 4/22/2014 10:03 PM (GMT 0)
**** you made me laugh.
Posted 9/21/2018 10:44 PM (GMT 0)

SyXx said...
You need determine the logarithm of your creatine and bilirubin. You can do this in excel, the formula is =ln(#). I made an excel sheet that has a spot to put creatine and bili in. I tested it by putting mine in, and then raised the numbers. Basically the higher your creatine and bili go, the higher your MELD without INR goes. Right now my normal MELD is around a 8 or a 9. My MELD-XI was 4.006463. I verified this by putting higher numbers in, I used like 2.0 for creatine and 20 for bili and got a MELD-XI 32.90559.

I will email you my spreadsheet if you want it.

Hi,

I hope you are well.

Do you still have the spreadsheet for the MELD-XI? If yes, can you please send it to me, too?

Thank you!
Posted 9/22/2018 7:17 PM (GMT 0)
Hi valleygal,
This thread is more than 4 years old. Syxx has not posted in a couple years. There are two hot links above that discuss meld xi. They are in a post from mamalama. Good luck
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