P- 93 INTERVENTIONS AND CLINICAL OUTCOMES IN PATIENTS EXCLUDED FROM PRE-LIVER TRANSPLANT EVALUATION IN A SINGLE CENTER EXPERIENCE

Abstract

Introduction and Objectives: Liver transplantation is the best treatment option for patients with end-stage liver disease of any etiology. The success of the clinical intervention depends on the proper selection of the donor and the recipient. Biopsychosocial determinants influence the rate of post-transplant complications and mortality. This study aimed to identify interventions and clinical outcomes in patients excluded from pre-liver transplant evaluation with a clinical indication for liver transplantation between January 2019 and December 2021 in a single-center experience in Bogotá. Materials and Methods: A cross-sectional study of patients >18 years old with a clinical indication for liver transplantation that was not suitable during the social work and psychology assessment for pre-liver transplant evaluation between January 2019 to December 2021. Results: Between January 2019 to December 2022, 565 patients were considered candidates for pre-liver transplant evaluation. Of these, 122 patients were included in our study because they were excluded from evaluation by psychology and social work. 58.2% (n=71) were men, 77% (n=94) belonged to the private health system, 38.5% (n=47) had a primary education level, 34.4% (n=42) were unemployed, and the median monthly income was $250 USD (IQR 200 - 487 USD). 32.5% (n=37) become included in the pre-liver transplant study after some intervention. The activation of the extended family network showed a statistically significant difference in its frequency between the groups included and those not included in the pre-transplant study (p=0.011). Conclusions: Interventions by the multidisciplinary liver transplantation support group allow access to pre-transplant evaluation, admission to the waiting list and transplantation to patients initially excluded for different reasons that can be modified with these tools.