Factors during donor care that may affect liver transplantation outcome.
Publications are reviewed that identify factors during donor care and characteristics of the donor liver that may be associated with outcome following liver transplantation. The procurement coordinator has the opportunity to influence cold ischemia time, blood pressure, the serum sodium concentration and, perhaps, liver glycogen reserves. These variables may significantly affect postimplantation graft performance and graft or recipient survival. Summaries of those publications comprising this database are presented, and several limitations in their interpretation are discussed.
Powner
David J
DJ
Vivian L. Smith Center for Neurologic Research, University of Texas Health Science Center at Houston, Tex, USA.
D000367:Age Factors; D002423:Cause of Death; D006085:Graft Survival; D006801:Humans; D006955:Hypernatremia / Q000209:etiology / Q000517:prevention & control; D007022:Hypotension / Q000209:etiology / Q000517:prevention & control; D019194:Ischemic Preconditioning / Q000009:adverse effects / Q000379:methods / Q000592:standards; D007902:Length of Stay / Q000706:statistics & numerical data; D016031:Liver Transplantation / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data; D024382:Professional Role; D012307:Risk Factors; D016019:Survival Analysis; D013997:Time Factors; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D016896:Treatment Outcome