Hepatic Scoring Systems

Question 1

MELD

Answer 1

Bilirubin
INR
Creatinine
<11 no benefit from transplant
>11 benefit
Better at survival prediction than CP

Question 2

UKELD

Answer 2

Adds Na from MELD
Used for liver transplant
Indicates mortality risk

Question 3

Child Pugh

Answer 3

Bilirubin, INR, HE, ascites, albumin
Assess severity of liver disease 
Score converted to grade
<7 = A
7-9 = B
10-15 = C

Question 4

Barcelona Clinic

Answer 4

Similar to CP
0, A, B, C, D
Used to determine HCC staging and therefore treatment

Question 5

Metavir

Answer 5

Used for staging of liver fibrosis

Question 6

Milan

Answer 6

Used to assess transplant for HCC

Considers lesion and nodule size