4.6 Article

Recommendations for Donor and Recipient Selection and Risk Prediction: Working Group Report From the ILTS Consensus Conference in DCD Liver Transplantation

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Summary: Limited data exist on the impact of DCD allografts on outcomes following liver transplantation in patients with fulminant hepatic failure. Graft and patient survival in DCD-FHF were found to be comparable to DBD-FHF and DCD-non-FHF over a 15-year period, with improvements observed in long-term survival. Recipient age, male gender, African American ethnicity, donor age, and cold ischemia time were identified as predictors of survival in FHF, while DCD status was only predictive of graft survival. Consideration of DCD in FHF could help expand the donor pool for critically ill patients.

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