Is There a Difference with Aged Grafts?

Abstract

Results: LT was advised in 450(90%) patients. 45(9%) patients were lost to follow up. Predominant etiology was alcohol in 240/500(48%) and median MELD score was 24 . 54 out of 450(12%) eventually underwent LT. Of the 43 patients transplanted at our center there was no inpatient mortality. 231/450(51.3%)patients did not agree for evaluation. Finance was the reason 88/ 450(19.5%), unavailable donor in 57/450(12.7%), lack of both finance and donor in 68/450(15.1%), patient or family refusal in 18/450(4%), and preferring a different hospital for transplant in 11/450(2.4%). 77/396(19.4%) patients who did not undergo LT for various reasons died. 30/ 450(6.6%) patients improved on follow up and did not require LT. Conclusions: Lack of finances and living/deceased donors are the major impediments in LT. Improvement in organ allocation and deceased donation, public awareness, wider insurance coverage and financial support from government agencies can help in reducing mortality in patients eligible for LT.