09 January 2024>: Original Paper
Retrospective Analysis of the Impact of High- and Low-Quality Donor Livers for Patients with High-Acuity Illness
Ron K. Varghese 1ABCDEFG* , Greta E. Handing 2ABCDFG , Ashley E. Montgomery 2ADE , Abbas A. Rana 3ACDE , John A. Goss 3ADDOI: 10.12659/AOT.941931
Ann Transplant 2024; 29:e941931
Table 2 Donor and recipient risk factors considered in analyses.
Donor risk factors | Recipient risk factors |
---|---|
High-quality donor (DRI | Age 18–30 |
Low-quality donor (DRI >1.86) | Age 60–65 |
ALT/SPGT 60–100 u/L | Age >65 |
ALT/SPGT >100 u/L | Albumin 0.1–2.0 g/dL |
AST/SGOT 90–140 u/L | Ascites at transplant |
AST/SGOT >140 u/L | African American Recipient |
Creatinine 1.5–2.0 mg/dL | BMI 30–35 |
Creatine >2.0 mg/dL | BMI 35–40 |
Donor pH 7.1–7.2 | BMI >40 |
Donor pH 7.0–7.1 | Functional status 10% |
Donor pH | Functional status 20% |
Hepatitus C serology | Functional status 30% |
Height Difference of 30–60 cm | Functional status 40% |
Height difference of >60 cm | Functional status 50% |
Height difference of −30–60 cm | Functional status 60% |
Height difference of >−60 cm | Functional status 70% |
Total bilirubin 1.0–1.8 mg/dL | Functional status 80% |
Total bilirubin > 1.8 mg/dL | Functional status 90% |
Weight difference 45–70 lbs | Functional status 100% |
Weight difference >70 lbs | No education/dropout |
Weight difference −70–45 lbs | Technical degree |
Weight difference >−70 lbs | Bachelor’s degree |
Warm ischemic time < 15 minutes | Doctorate degree |
Warm ischemic time 15–30 minutes | Occupation |
Warm ischemic time >30 minutes | Cirrhosis |
Alcoholic cirrhosis | |
Hepatitis C | |
Encephalopathy | |
Hepatocellular carcinoma | |
Hemodialysis prior to transplant | |
Spontaneous bacterial peritonitis | |
Incompatible blood type | |
INR 2.0–2.5 | |
INR 2.5–3.0 | |
INR 3.0–3.5 | |
INR 3.5–4.0 | |
INR > 4.0 | |
Serum sodium | |
Serum sodium 125–130 mEq/L | |
Serum sodium 130–135 mEq/L | |
Serum sodium 150–200 mEq/L | |
History of portal vein thrombosis at registration | |
History of portal vein thrombosis at transplant | |
Hospitalized not in ICU pre-transplant | |
In ICU pre-transplant | |
Life support | |
On ventilator at transplant | |
Medicaid | |
Private insurance | |
Previous abdominal surgery | |
Transjugular intrahepatic portacaval stint shunt at transplant | |
Total bilirubin | |
Total bilirubin 8–16 mg/dL | |
Total bilirubin 16–32 mg/dL | |
Total bilirubin >32 mg/dL | |
Region: CT, ME, MA, NH, RI | |
Region: DE, DC, MD, NJ, PA, N. VA, WV | |
Region: AL, AR, FL, GA, LA, MS, PR | |
Region: OK, TX | |
Region: AZ, CA, NV, NM, UT | |
Region: AK, HI, ID, MT, OR, WA | |
Region: IL, MN, ND, SD, WI | |
Region: CO, IA, KS, MO, NE, WY | |
Region: NY, VT | |
Region: IN, MI, OH | |
Region: KY, NC, SC, TN, VA |