Selection of pediatric candidates under the PELD system.
1. The PELD score accurately predicts the 3 month probability of waiting list death for children with chronic liver disease. 2. Comparing pre and post PELD and MELD implementation, the percent of children receiving deceased donor livers increased and the percent of children dying on the list decreased after PELD/MELD implementation. 3. Excluding children transplanted at status 1, the largest percentage of children are transplanted at a PELD score < 10. 4. Before MELD/PELD 48% of all children receiving deceased donor organs were transplanted at status 1, compared to 41% in the PELD/MELD era. Wide regional variation occurs.
McDiarmid
Sue V
SV
Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. smcdiarmid@mednet.ucla.edu
Merion
Robert M
RM
Dykstra
Dawn M
DM
Harper
Ann M
AM
D000328:Adult; D002648:Child; D003661:Decision Support Techniques; D006801:Humans; D017093:Liver Failure / Q000401:mortality / Q000503:physiopathology* / Q000601:surgery*; D016031:Liver Transplantation; D015233:Models, Statistical; D018579:Patient Selection; D011379:Prognosis; D012720:Severity of Illness Index; D014019:Tissue Donors; D014850:Waiting Lists