PELD-Cr score (OPTN 2023 pediatric end-stage liver disease, with creatinine)
Published 2025. Replaces PELD score (2002 formula) — pediatric end-stage liver disease, which is kept for comparison.
Pogosh offers this calculator when a case matches liver disease, acute liver failure. It runs only when you press Calculate.
Decision support for clinicians — review before acting.
References
- Organ Procurement and Transplantation Network. OPTN Policies, Policy 9: Allocation of Livers and Liver-Intestines, 9.1.E PELD Score (Table 9-1). Effective 11/13/2025, pp. 187-188. Search PubMed
Implementation notes
Albumin/bilirubin/INR < 1.0 set to 1.0; creatinine set to 1.3 if > 1.3 or after ≥ 2 dialysis treatments or 24 h CVVHD in the prior 7 days. The policy uses the minimum CDC height or weight z-score in place of the old yes/no growth-failure flag; enter it from a CDC 2000 LMS calculation. Creatinine < 0.2: the policy prints "ln(.02)"; the calculator declines to score rather than guess. No published worked example was found; tests are hand-computed.
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