MELD-3.0 / Child-Pugh
Compute MELD-3.0 and Child-Pugh side-by-side.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Bilirubin
- 2.0 mg/dL
- INR
- 1.5
- Creatinine
- 1.3 mg/dL
- Sodium
- 135 mEq/L
- Albumin
- 3.0 g/dL
- Sex
- M
- Ascites
- Mild
- Encephalopathy
- None
Result: MELD-3.0 ~17; Child-Pugh ~7 (Class B).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- MELD <10
- Roughly 1.9% estimated 90-day mortality in the original cohort.
- MELD 10-19
- Roughly 6% estimated 90-day mortality.
- MELD 20-29
- Roughly 19.6% estimated 90-day mortality.
- MELD 30-39
- Roughly 52.6% estimated 90-day mortality.
- MELD >=40
- Roughly 71.3% estimated 90-day mortality.
What you enter
- Bilirubin
- INR
- Creatinine
- Sodium
- Albumin
- Sex
- Hemodialysis at least twice in past week
- Ascites (Child-Pugh)
- Encephalopathy (Child-Pugh)
What this is
MELD-3.0 takes creatinine, bilirubin, INR, sodium, albumin, and sex and returns the integer score now used for U.S. liver-transplant allocation; Child-Pugh sums points for bilirubin, albumin, INR, ascites, and encephalopathy and returns the A/B/C class. Sources: Kim WR et al, Gastroenterology 2021 (MELD-3.0); Pugh RN et al, Br J Surg 1973 (Child-Pugh).
When to use it
Use MELD-3.0 for transplant-listing severity and short-term mortality prediction in chronic liver disease; use Child-Pugh for surgical risk stratification (especially non-transplant abdominal surgery) and for legacy contexts that still expect the A/B/C class. Neither score replaces hepatology evaluation; both are diagnostic anchors, not treatment decisions.
How this is calculated
Kim WR, et al. MELD-3.0. Gastroenterology. 2021;161(6):1887-1895. Pugh RN, et al. Br J Surg. 1973;60(8):646-649 (Child-Pugh). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.