MELD+ Perioperative Risk Brief

Saif & Associates Inc

About this app

MELD+ is an educational clinical decision-support reference for the perioperative care of liver transplant patients — built for anesthesiologists, hepatologists, and transplant surgeons. It is not a medical device.

CALCULATE THE SCORES THAT MATTER
• MELD 3.0 — the current OPTN allocation score (2023), with the sex coefficient and albumin
• MELD-Na — the prior standard, shown side by side
• Child-Pugh class
Every score shows its exact formula and primary reference on tap.

PERIOPERATIVE RISK BRIEF
• Composite perioperative risk overview (heuristic, kept distinct from the MELD score)
• Renal / CRRT initiation thresholds and fluid protocol
• Cardiac and pulmonary workup prompts
• Pulmonary function (PFT) outcome prediction
• Liver Frailty Index layer
• Smoking / pack-year and BMI workup
• Portal hypertension — TIPS and portal vein thrombosis outcomes
• Enlarged red-flag alerts, text and pinch zoom

PRIVACY BY DESIGN
Session-only. No patient data is stored, transmitted, or logged — all computation is local to your device. Works fully offline.

Every recommendation is tied to peer-reviewed literature or published OPTN policy, listed in the Sources tab.

IMPORTANT: MELD+ is an educational reference and clinical decision-support aid. It is not a medical device and does not diagnose, treat, or replace clinical judgment, institutional protocol, or current OPTN policy. Verify all values against primary sources.

Developed by Saifeldin A. Mahmoud, MD, PhD — Director of Liver Transplant Anesthesia.

What’s new

New in v1.2:
• Portal hypertension card — TIPS & portal vein thrombosis outcomes (collapsible, shows only when relevant, with cited evidence)
• Demographics moved to the top of the patient inputs
• Developer name and credentials now shown on the main screen
• Refined app icon — now fully visible
• Text and pinch-to-zoom for easier reading