MELD-to-Sodium Ratio (MESO Index) Calculator

Calculates the MESO index from MELD and serum sodium. Includes information buttons, interpretation and a Knowledge Hub clinical guide.

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MELD-to-Sodium Ratio (MESO Index)
Clinical Decision Tool

Calculates the MESO index from MELD and serum sodium.

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Clinical Decision Support Only

MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress.

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MedicalC Knowledge Hub

MELD-to-Sodium Ratio (MESO Index): Clinical Guide

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Calculates the MESO index from MELD and serum sodium.

Overview

Calculates the MESO index from MELD and serum sodium.

Clinical Significance

Higher values indicate worse prognosis in cirrhosis cohorts.

When to Use

  • Use as decision support when all required inputs are reliable.

How It Is Calculated

  • MESO index = MELD ÷ sodium × 100.

Interpretation

  • Higher values indicate worse prognosis in cirrhosis cohorts.

Worked Example

Enter verified values in the displayed units; MedicalC applies the published equation or point system.

Limitations

  • Prediction models may be miscalibrated outside their derivation population.
  • Measurement and classification error can materially change the result.

Clinical Pearls

  • Document source values and units with the result.
  • Use trends and the full clinical picture.

Common Mistakes

  • Wrong units.
  • Using non-contemporaneous inputs.
  • Treating the output as a diagnosis or mandatory treatment decision.

Frequently Asked Questions

What does this tool calculate?

Calculates the MESO index from MELD and serum sodium.

Can the result be used alone?

No. Interpret it with the complete clinical assessment and current guidance.

References

  1. Huo TI et al. Liver Transpl. 2007;13:1075-1083. — Primary or supporting reference for the implemented model.

Reviewed by: MedicalC Clinical Editorial Team
Last reviewed: July 2026

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Reviewed by: MedicalC Clinical Editorial Team Last reviewed: July 2026

Clinical Disclaimer

MedicalC calculators and clinical tools are intended to support healthcare professionals. They do not replace clinical judgement, individual patient assessment, local guidance or specialist advice.

Results should always be interpreted in the context of the patient’s history, examination, investigations, current clinical condition and applicable professional guidance.

Reviewed by: MedicalC Clinical Editorial Team Last reviewed: July 2026
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