Outcome of Liver Transplant Patients with High Urgent Priority
Transplantation Direct Original Clinical Science—Liver TP Outcome of Liver Transplant Patients With High TPA Urgent Priority: Are We Doing the Right Thing? Jacob D. de Boer, MD,1,2 Andries E. Braat, MD, PhD,2 Hein Putter, PhD,3 Erwin de Vries, MSc,1 Christian H. 0041-1337/18/10306-1181 Strassburg, MD, PhD,4 Zoltán Máthé, MD, PhD,5 Bart van Hoek, MD, PhD,6 Felix Braun, MD, PhD,7 Aad P. van den Berg, MD, PhD,8 Danko Mikulic, MD, PhD,9 Peter Michielsen, MD, PhD,10 Blaz Trotovsek, MD, 2373-8731 PhD,11 Heinz Zoller, MD, PhD,12 Jan de Boer, MD,1 Marieke D. van Rosmalen, MD,1 Undine Samuel, MD, 13 14 15 Lippincott Williams & WilkinsHagerstown, MD PhD, Gabriela Berlakovich, MD, and Markus Guba, MD, PhD ; on behalf of the Eurotransplant Liver and Intestine Advisory Committee (ELIAC) 10.1097/TP.0000000000002526 Background. About 15% of liver transplantations (LTs) in Eurotransplant are currently performed in patients with a high- de Boer et al urgency (HU) status. Patients who have acute liver failure (ALF) or require an acute retransplantation can apply for this status. This study aims to evaluate the efficacy of this prioritization.Methods. Patients who were listed for LT with HU xxxJune status from January 1, 2007, up to December 31, 2015, were included. Waiting list and posttransplantation outcomes were evaluated and compared with a reference group of patients with laboratory Model for End-Stage Liver Disease xxxMonth2019 (MELD) score (labMELD) scores ≥40 (MELD 40+). Results. In the study period, 2299 HU patients were listed for LT.
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