What is the PELD formula?

PELD = 0.480 × ln(bilirubin) + 1.857 × ln(INR) − 0.687 × ln(albumin) + 0.436 × age (<1 year) + 0.667 × growth failure (<2 SD). Multiplied by 10.

When does PELD switch to MELD?

Patients transition from PELD to MELD scoring at age 12. Pediatric patients may receive status exception points for conditions not well captured by PELD (e.g., metabolic liver disease).

What constitutes growth failure in PELD?

Height or weight below 2 standard deviations from the mean for age and sex. Adds 0.667 to PELD score. Malnutrition from chronic liver disease is a key pediatric-specific consideration.

PELD Pediatric End-Stage Liver Disease Score Calculator

Calculate PELD score for children under 12 years awaiting liver transplant. Variables: bilirubin, INR, albumin, growth failure, age <1 year. Predicts 90-day mortality on pediatric transplant waitlist.

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Frequently Asked Questions

What is the PELD formula?

When does PELD switch to MELD?

What constitutes growth failure in PELD?