MELD / MELD-Na / MELD-3.0 / Child-Pugh / FIB-4 Calculator

Naperville Gastroenterology

Stephen Holland, MD, FACP
Assistant Professor, Gastroenterology
Southern Illinois University School of Medicine
Decatur IL 62526

MELD Calculator

This calculator finds the MELD, the 
MELD-Na,and the MELD-3.0, all on one page!

Creatinine:

On Dialysis

Bilirubin:

INR:

Sodium:

Albumin:

Male Female

MELD:

MELD-Na:

MELD-3.0:

Kim, WR, et. al. MELD 3.0: The Model for End-Stage Liver Disease Updated for the Modern Era. Gastroenterology 2021;161(6):P1887-1895.E4

FIB-4 Calculator

Age:

AST:

ALT:

Platelets:

FIB-4:

Risk of advanced fibrosis in

<1.3Low

1.3 to 2.67Intermediate

>2.67High

Clinical decision tree (fig. 2) from Xiao-lan Xu, et. al. The role of fibrosis index FIB-4 in predicting liver fibrosis stage and clinical prognosis: A diagnostic or screening tool? J Formosan Med Assoc 2022;121(2):454-466.

\frac{Age \cdot AST}{Platelets \cdot \sqrt{ALT}}

Bilirubin:	<2 mg/dl (34 umol/l) 2-3 mg/dl (34-50 umol/l) >3 mg/dl (50 umol/l)
Albumin:	>3.5 g/dl 2.8-3.5 <2.8
PT prolongation (INR):	<4 seconds (<1.7) 4-6 seconds (1.7-2.3) >6 seconds (>2.3)
Ascites:	Absent Mild-Moderate Severe/Refractory
Encephalopathy:	Absent Mild (I-II) Severe (III-IV)

MELD Calculator

Child-Pugh Score Calculator

FIB-4 Calculator