Experiences from six years of quality assured Model of End Stage Liver Disease (MELD) diagnostics.

ABSTRACT:

Background

The model of end-stage liver disease (MELD) score was established for the allocation of liver transplants. The score is based on the medical laboratory parameters: bilirubin, creatinine and the international normalized ratio (INR). A verification algorithm for the laboratory MELD diagnostic was established, and the results from the first six years were analyzed.

Methods

We systematically investigated the validity of 7,270 MELD scores during a six-year period. The MELD score was electronically requested by the clinical physician using the laboratory system and calculated and specifically validated by the laboratory physician in the context of previous and additional diagnostics.

Results

In 2.7% (193 of 7,270) of the cases, MELD diagnostics did not fulfill th

SUBMITTER: Hunold P 

PROVIDER: S-EPMC8389365 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature