Annals of Hepatology (Mar 2023)

P-114 APPLICATION OF THE DONOR RISK INDEX IN LIVER TRANSPLANTATION IN THE MAIN TRANSPLANT CENTER IN PERU

  • P.Martin Padilla-Machaca,
  • Omar Mantilla,
  • José Rivera,
  • Alfonso Solar,
  • Bertha Cárdenas,
  • Carmen Cerrón,
  • Saul Espinoza,
  • Wilmer Bacilio,
  • A Montufar,
  • Carlos Rondón

Journal volume & issue
Vol. 28
p. 100998

Abstract

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Introduction and Objectives: The evaluation of cadaveric donors through the application of the donor-recipient risk index (DRI) since 2006 in the USA has been useful in the standardization of criteria during organ allocation in liver transplantation. This study aimed to apply the DRI > or 1.7: 29.8% (mortality: 30.43). Post reperfusion syndrome: 47.82%. Cause of brain death: Traumatic brain injury: 43.58%, stroke: 41.02%, anoxic brain injury: 11.53%. Male: 60.25% and female: 39.74%. Donor graft weight: IDR 1.7 graft weight: 1407 g (336-1900), WIT: 7.4 h (4-12.24), age: 51.22 y (29-67), BMI: 26.27 (26.23-29.38), brain death time: 24.5 h and admission time: 3 h. DRI group 1.7: mild steatosis: 87% and moderate in 13%. (see table 1) Conclusions: Medical-surgical morbidity and mortality, post-reperfusion syndrome, hospital stay, stroke, BMI, and use of SPLIT grafts were higher in patients with IDR > 1.7. Other variables studied had no statistical relationship. We conclude that the IDR should be included in the evaluation of donors in our reality.