Draft organ allocation criteria
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Draft Organ Allocation Criteria. Factors affecting Allocation. Medical need Length of waiting time: time a illness progressed to a point when transplant would be of immediate benefit Medical urgency: more imp. In liver and heart Capacity to benefit Donor/recipient matching

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Factors affecting allocation
Factors affecting Allocation

  • Medical need

  • Length of waiting time: time a illness progressed to a point when transplant would be of immediate benefit

  • Medical urgency: more imp. In liver and heart

  • Capacity to benefit

  • Donor/recipient matching

  • Logistics e.g. availability of patient with in the reqd. time

  • Ischemic time: Time from retrieval to transplant


Waiting list
WAITING LIST

The parameters to be highlighted are:

  • Blood Group

  • Duration of wait on the list

  • Criticality


Criteria for organ allocation
Criteria for Organ Allocation

KIDNEY

Factors for consideration:

  • Blood Group matching---- MUST

  • Time duration since dialysis /since registration

  • Tissue type matching with Donor (HLA matching)

  • PRA (Panel Reactive Antibody) Score: if > 90% ---priority listing

  • Pediatric Patient --- less than 18 years on dialysis for more than 1 year-------priority listing


LIVER

  • Criteria for Urgent Liver Transplantation:

    • Fulminant hepatic failure: Patient on ventilator gets priority

    • Hepatic Artery Thrombosis following a liver transplant

    • Primary non-function of a graft

    • Pediatric Patients with severe metabolic disorders or hepatoblastoma

      Non-urgent Patient

      -waiting time

      -ABO blood group matching recipient with higher MELD Score gets priority


Heart Transplant:

Criteria for Allocation:

  • ABO incompatibility except paediatric < 12 month

  • Negative lymphocytotoxic cross match

  • Size and Wt. compatibility with donor

  • Urgent Status: Patient with LVAD (LV Assisted device) followed by Pt. with Intraaorticbaloon pump

  • Waiting time

  • Logistical consideration


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