Session Time: 5:30pm-6:30pm
Presentation Time: 5:30pm-6:30pm
Location: Exhibit Hall E
The waiting list mortality rate for children is higher than for adults owing to scarce availability of size-appropriate grafts for liver transplantation(OLT). There is a little experience about using organs donation after circulatory death(DCD) in pediatric recipients.
To compare the long-term national outcomes for children(aged< 18 years)undergoing OLT using DCD versus organs donation after brain death (DBD). The primary outcome measure was graft failurefree survival; the secondary end point was the frequency of retransplantation.
All children(< 18 years) undergoing primary OLT from DCD and DBD donors were identified from SRTR database. Patient survival was analyzed using the KaplanMeier curve and Cox regression.
RESULTS Between 2000-2013, 7874 pediatric recipients received DBD livers vs 47 children received DCD livers(0.6%). DCD pediatric recipients median weight 27.0 kg (5.380) and median BMI 21.9(18.7-24.7). The DCD pediatric recipients were significantly older than DBD recipient, however, there were no significant difference in gender, ethnicity, indication for liver transplant, PELD score, retransplantation and immunosuppression between both groups.
|Variables||pDCD (n=47)||pDBD (n=7874)||P value|
|Age (mean) yrs||6.4±2.5||4.1±1.7||0.001|
|Indication of transplantation||0.72|
To cite this abstract in AMA style:El-Gazzaz G, Hashimoto K, Fujiki M, Daigo T, Quintino C, Aucejo F, Kelly D, Winans C, Miller C, Fung J, Eghtesad B. Liver Transplantation in Children Using Organ Donation After Circulatory Death An Analysis of the National Registry [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/liver-transplantation-in-children-using-organ-donation-after-circulatory-death-an-analysis-of-the-national-registry/. Accessed January 28, 2021.
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