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Post-operative Mortality Risk in Patients with Cirrhosis

To determine the risk of post-operative mortality for all types of major surgery, especially gastro-intestinal, orthopedic and cardiac surgery (includes open-heart procedures), please enter the following variables:

What is the age?
What is the ASA score? (use 1-5)
What is the bilirubin? (mg/dl)
What is the creatinine? (mg/dl)
What is the INR?
What is the etiology of cirrhosis? Alcoholic or Cholestatic
Viral/Other

Probability of Mortality

Post-operative Interval
7 days 30 days 90 days 1 year 5 years
% % % % %

Disclaimer

This is the original version of the MELD scale as developed by investigators at Mayo Clinic. A number of modification have been made by UNOS to the model for its implementation in organ allocation for liver transplantation. The UNOS-modified version is also available on this site under MELD, UNOS modification.

American Society of Anesthesiologists (ASA) Physical Status Classification

  • Physical status I: Healthy patient
  • Physical status II: Systemic disease without functional limitation
  • Physical status III: Severe systemic disease with definite functional limitation
  • Physical status IV: Patient with severe systemic disease that is a constant threat to life
  • Physical status V: Moribund patient unlikely to survive 24 hours with or without an operation

This page is created by W. Ray Kim, M.D. for the use of health care providers. Please send comments to kim.woong@mayo.edu.

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