Calculates donor age multiplied by recipient MELD as a simple liver-transplant outcome index.
Donor-MELD (D-MELD): Clinical Guide
Browse Knowledge HubCalculates donor age multiplied by recipient MELD as a simple liver-transplant outcome index.
Overview
Calculates donor age multiplied by recipient MELD as a simple liver-transplant outcome index.
Clinical Significance
D-MELD values ≥1600 were associated with poorer graft and patient survival in the original study.
When to Use
- Use as structured clinical decision support when the required data are available and reliable.
How It Is Calculated
- The displayed variables are combined using the published equation, decision rule or weighted point system.
Interpretation
- D-MELD values ≥1600 were associated with poorer graft and patient survival in the original study.
Worked Example
Enter verified patient data in the displayed units; MedicalC applies the published model.
Limitations
- Risk and classification tools can be misapplied outside their validated population.
- Missing, estimated or non-contemporaneous data may materially change the result.
Clinical Pearls
- Document the input values, units, date and clinical setting with the result.
- Use serial scores only when the same instrument and measurement method are used consistently.
Common Mistakes
- Using the tool without confirming entry criteria.
- Using approximate or incorrectly converted laboratory values.
- Treating a prognostic score as a standalone treatment decision.
Frequently Asked Questions
What does this tool calculate?
Calculates donor age multiplied by recipient MELD as a simple liver-transplant outcome index.
Can this result be used alone?
No. Interpret it with the full clinical assessment, applicable entry criteria and current guidance.
References
- Halldorson JB et al. Am J Transplant. 2009;9:318-326. — Primary or supporting reference for the implemented model.
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.