Liver
The scoring system used to measure illness severity in the allocation of livers to adults
What is the MELD score (model for end stage liver disease)?
Age, Creatinine, History of HTN, History of DM, Cause of Death, Height, Weight, Donor Type (DCD vs BDD)
What are the deceased donor characteristics that factor into the KDRI/ KDPI?
A transplant hospital has this much time to submit a provisional yes or an organ offer refusal after receiving the initial organ offer notification.
What is one hour?
When a previously accepted whole liver is declined after the donor has entered the operating room (or WDLS for DCD).
When can the Expedited Liver Offers Wizard be executed?
This is who is responsible for all transportation costs for deceased donor kidneys, and associated tissue typing materials that are shipped without any other organs.
Who is the host OPO?
Tested using pre-red blood cell transfusion samples, drawn on two separate occasions, have different collection times, and be submitted as separate samples.
What are the requirements for deceased donor blood samples for subtyping?
A request for this must be escalated to the ORC and AOC and documented in iTransplant
What is a percutaneous liver biopsy
Dictated by the order of the match run, when both kidneys are allocated to the kidney match.
What is choice of laterality?
A person who is qualified to perform blood type reporting or verification requirements as defined in the OPO, transplant hospital, or recovery hospital written protocol
What is a qualified health care professional?
No notifications sent within 8 hours of the initial match run. Liver refused dt a change in specific medical information. Liver has not been allocated within two hours of procurement. New donor information received that would screen potential recipients from the match run. Re-Execution of the Match Run Due to New Information. Allocating right segment from pediatric donor.
What is approved reasons for re-execution of the liver match.?
The percentage of deceased donors expected to have one or more of the unacceptable antigens indicated on the waiting list for a candidate, derived from HLA antigen, allele, and epitope genotype frequencies for the different populations in proportion to their representation in the national deceased donor population.
What is the Calculated Panel Reactive Antibody (CPRA)?
A previously accepted organ may be reallocated only if the accepting transplant surgeon and the OPO mutually agree upon this (with approval from Utilization Leadership).
What is an alternative allocation?
Less than 40 years old, on a single vasopressor or less, transaminases no greater than three times the normal level, and body mass index (BMI) of 29 or less
What is the criteria for split liver?
A score that represents the percentage of kidney candidates in the nation with a longer expected post-transplant survival time, based on candidate time on dialysis, whether or not the candidate has a current diagnosis of diabetes, whether the candidate has had any prior solid organ transplant, and candidate age.
What is the EPTS score - Estimated Post Transplant Survival?
This is who is responsible for determining that non-local procurement teams have transportation to and from the local airport.
Who is the host OPO?