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Draft Organ Allocation Criteria

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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Draft Organ Allocation Criteria

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  1. Draft Organ Allocation Criteria

  2. 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

  3. WAITING LIST The parameters to be highlighted are: • Blood Group • Duration of wait on the list • Criticality

  4. 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

  5. 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

  6. 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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