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
- Organ Procurement and Transplantation Network. Notice of OPTN Policy and Guidance Changes: Improving Liver Allocation: MELD, PELD, Status 1A, Status 1B (Board approved June 27, 2022), Table 9-1. https://optn.transplant.hrsa.gov/media/3idbp5vq/policy-guid-change_impr-liv-alloc-meld-peld-sta-1a-sta-1b_liv.pdf Official document
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. For creatinine below 0.2 mg/dL the term 1.453 × ln(0.2) is used, as printed in the Board-approved OPTN policy notice (June 2022); the current policy text prints ln(.02), which would make the score jump at 0.2, and is treated as a typographical error. What the OPTN allocation system itself computes below 0.2 is unresolved. No published worked example was found; tests are hand-computed.
Related calculators
Pogosh CDS reads a clinical note and offers the calculators that fit the case. Try it on your own note, browse all calculators, or call them from your software through the API.