MELD-XI (MELD excluding INR)
MELD-XI (Heuman 2007): the INR-independent MELD for the anticoagulated patient whose INR is uninterpretable.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Total bilirubin
- 2.0 mg/dL
- Serum creatinine
- 1.5 mg/dL
Result: MELD-XI 18 (bilirubin and creatinine floored at 1.0 mg/dL before the log).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Use
- the INR-independent MELD for the anticoagulated patient whose INR is uninterpretable (mechanical valve, LVAD); read beside the standard MELD.
What you enter
- Total bilirubin
- Serum creatinine
How this is calculated
- Formula
- MELD-XI = 5.11 x ln(bilirubin) + 11.76 x ln(creatinine) + 9.44, both in mg/dL; each lab floored at 1.0 before the log.
Heuman DM, Mihas AA, Habib A, et al. MELD-XI: a rational approach to patients with end-stage liver disease requiring anticoagulation. Liver Transpl. 2007;13(1):30-37. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.