This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.

PELD-Cr (OPTN 2023)

Current PELD with creatinine, continuous age, and growth z-score (Hsu 2021; OPTN since July 13, 2023)

Child

Age

Lower z-score of height and weight (CDC)

Determine z-scores e.g. with the growth calculator (CDC).

Laboratory

Total bilirubin

INR

Albumin

Creatinine

≥ 2 dialysis sessions in the last 7 days or 24 h CVVHD

Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.

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Sources

Development of a pediatric end-stage liver disease score to predict poor outcome in children awaiting liver transplantation (Transplantation 74:173–181) McDiarmid SV, Anand R, Lindblad AS, et al., 2002. Original paper (not free; coefficients per two concordant reproductions)
Improving the predictive ability of the pediatric end-stage liver disease score for young children awaiting liver transplant (Am J Transplant 21:222–228) Hsu E, Schladt DP, Wey A, Perito ER, Israni AK, 2021. Original paper (not free; formula per public documentation citing the OPTN policy documents)
OPTN Policy 9: Allocation of Livers and Liver-Intestines – PELD calculation (effective since July 13, 2023) HRSA / Organ Procurement and Transplantation Network, 2025. Allocation policy (provider’s calculator page read)

Scientific basis last reviewed: September 2026.

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Note

Calculation aid for healthcare professionals. Percentiles and z-scores describe the position of a measured value in the reference population; clinical assessment remains with the treating physician.