Calculator: PELD score for end-stage liver disease (patients less than 12 years old)

Input

Sex	Female
	Male
Age
Weight
Height
Albumin
Bilirubin
INR
Listing	Age at listing 1 year or older
	Age at listing less than 1 year

Results

Important: Inputs must be complete to perform calculation.


Growth failure
PELD score

Notes

The PELD score is used to estimate relative disease severity and likely survival of pediatric patients awaiting liver transplantation. PELD is the primary method for ranking priority for liver transplantation in children under age 12. Children may be eligible for special ranking status for specific conditions including acute liver failure, acute on chronic liver failure, malignancy, certain metabolic diseases, primary nonfunction of a previously transplanted liver, and hepatic artery thrombosis.
The Growth term in the equation is set to 0.667 when the subject's height or weight is less than 2 standard deviations below the mean values for that age. Thus, the presence of growth failure contributes almost 7 points to the PELD score.
The listing age factor term will be set to 0.436 if the subject is under 1 year of age, or if the subject is less than 2 years old AND was listed before the age of 1 year.
Refer to appropriate UpToDate topic reviews.
PELD: pediatric end-stage liver disease; INR: international normalized ratio.

Equations used

PELD_score = 10 * ((0.480 * ln(Bilirubin)) + (1.857 * ln(INR)) - (0.687 * ln(Albumin)) + Listing_age_factor + Growth)

References

Organ Procurement and Transplantation Network. PELD calculator. Available at: https://optn.transplant.hrsa.gov/resources/allocation-calculators/peld-calculator/ (Accessed on April 6, 2021).

Only digits 0 to 9 and a single decimal point (".") are acceptable as numeric inputs. Attempted input of other characters into a numeric field may lead to an incorrect result.

Information on this page may not appear correctly if printed.

All information contained in and produced by the EBMcalc system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer.

Topic 13423 Version 14.0