Liver Transplant List Criteria | Medical Algorithm

Are you evaluating a patient with liver disease awaiting liver transplantation?

Yes

Age of the patient

years

Child-Pugh score (enter from 5 to 15)

Life expectancy for the patient

days

Does the patient have?

• fulminant liver failure?

Yes

• acute decompensated Wilson's disease?

Yes

• a history of liver transplantation in the past week with primary graft nonfunction or hepatic artery thrombosis?

Yes

• unresponsive acute variceal bleeding?

Yes

• hepatorenal syndrome?

Yes

• refractory ascites?

Yes

• refractory hepatic hydothorax?

Yes

• spontaneous bacterial peritonitis?

Yes

• hepatocellular carcinoma?

Yes

Select the appropriate answer for each finding

Level of care needed for liver disease

Hepatic encephalopathy

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

UNOS status

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Contraindications to Liver Transplantation
Clinical Diagnosis, Including Family History For Genetics
- Paediatric Hepatology Dependency (PHD) Score of Cowley et al
Other Testing
Criteria For Diagnosis
- Paediatric Hepatology Dependency (PHD) Score of Cowley et al
- Indications for Liver Transplantation
Severity, Prognosis, Stage

Therapy

Options
- Contraindications to Liver Transplantation
Selection

Monitoring

Response To Therapy
- Score for Liver Donor (SOLD) of Ioannou

Patient Concerns

Economics
- Contraindications to Liver Transplantation

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

United Network for Organ Sharing (UNOS) Liver Status for Adults 18 or Older

Purpose: To determine the status of a patient awaiting liver transplantation using the United Network for Organ Sharing (UNOS) liver disease severity scale.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10