PELD (pediatric end-stage liver disease)
PELD (Pediatric End-stage Liver Disease, McDiarmid 2002): from albumin, bilirubin, INR, age < 1 y, and growth failure; a higher score means greater waitlist priority.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Albumin
- 3.0
- Total bilirubin
- 4.0
- INR
- 1.5
- Age < 1 year at listing
- Yes
Result: PELD 11: a higher score indicates greater liver-disease severity and waitlist priority.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Use
- the under-12 transplant-listing score; a higher score means greater severity and waitlist priority. The raw McDiarmid form (no x10) is used.
What you enter
- Albumin (g/dL)
- Total bilirubin (mg/dL)
- INR
- Age < 1 year at listing
- Growth failure (< −2 SD)
How this is calculated
- Formula
- 4.80 x ln(bilirubin) + 18.57 x ln(INR) - 6.87 x ln(albumin) + 4.36 (age < 1 yr) + 6.67 (growth failure); labs in g/dL and mg/dL, floored at 1.0.
McDiarmid SV, Anand R, Lindblad AS; SPLIT Research Group. Development of a pediatric end-stage liver disease score to predict outcomes in children awaiting liver transplantation. Transplantation. 2002;74(2):173-181. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.