ScoreComponentsThresholdsClinical significance
Lille Model for Alcoholic HepatitisDay 0: age, albumin, INR, creatinine, bilirubin, prothrombin time; day 7: bilirubin (https://www.mdcalc.com/lille-model-alcoholic-hepatitis)Patient unresponsive to steroids (score ≥ 0.45)Discontinue corticosteroids at day 718
Maddrey Discriminant FunctionProthrombin time, total bilirubin (https://www.mdcalc.com/maddreys-discriminant-function-alcoholic-hepatitis)Severe disease (score ≥ 32)Initiate corticosteroids19
MELDBilirubin, creatinine, INR, sodium (https://www.mdcalc.com/meld-score-model-end-stage-liver-disease-12-older)Severe disease (score ≥ 21)Initiate corticosteroids
Predicts increased risk of in-hospital mortality if increases ≥ 2 in one week20
90-day mortality of 20% (sensitivity and specificity = 75%)21
28-day mortality of 30% to 50% (sensitivity = 86%, specificity = 48%)19,22
MELD-NaBilirubin, creatinine, INR, sodium (https://www.mdcalc.com/meldna-meld-na-score-liver-cirrhosis)Transplant eligible (score ≥ 21)Refer for liver transplant evaluation
Child-Pugh Score for Cirrhosis MortalityTotal bilirubin, albumin, INR, ascites burden, encephalopathy grade (https://www.mdcalc.com/child-pugh-score-cirrhosis-mortality)Class A: score 5 or 6
Class B: score 7 to 9
Class C: score 10 to 15
Describes cirrhosis severity; less commonly used for prognosis given the advantages of MELD23