Priority Criteria for Liver
Transplantation
The
Appropriate Authority for Organ
Transplantation has laid down priority criteria for liver
transplantation as follows:
-
An ICU patient who is intubated and on mechanical ventilation
(status 4)
The patient has absolute priority and the status should be
evaluated every week till he becomes status 2.
-
ICU patient not on ventilation (states 3).
-
Hospitalised in stable condition (status 2).
- At home, stable condition (status 1).
- If the patient has relative contra-indication (status 0) his
condition should be re-evaluated after the relative
contra-indication resolves.
Distribution of Liver
The liver will be transplanted to suitable
patient from the hospital where the liver has been harvested
according to local priority list of that institution. If there is no suitable
recipient in local priority list of that institution, it will go to
the recipient in the city waiting list.
The liver would be distributed as follows:
1.
Each live transplant centre establishes a local waiting list
and sends it to the ZTCC or Appropriate Authority for Organ
Transplantation which in turn establishes
a city waiting list
according to the priority criteria mentioned above.
2. Liver transplant centres should report the names of patients
requiring urgent liver transplantation to the
ZTCC / Appropriate
Authority for
Organ
Transplantation so that they are put in a
special urgent waiting list.
3.
Live is distributed according to priority, a period on the
waiting list and blood group.
The centre to which the live is to be transplanted has to
report
to the Zonal Transplant Co- ordination Centre / Appropriate Authority for
Organ Transplantation within one hour of receiving the information,
whether
or not it is able to perform the transplantation. All centres will be informed
about availability of liver, however liver will be given to the
centre in an
order of priority list of the patient. If the centre first on
priority list is unable to accept the liver, it will be given to the
centre second in the priority list
and so on
|