在PELD系统下选择儿科候选者。

Selection of pediatric candidates under the PELD system.

McDiarmid Sue V, Merion Robert M, Dykstra Dawn M, Harper Ann M

Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

Liver Transpl. 2004 Oct;10(10 Suppl 2):S23-30. doi: 10.1002/lt.20272.

Abstract

The PELD score accurately predicts the 3 month probability of waiting list death for children with chronic liver disease. 2. Comparing pre and post PELD and MELD implementation, the percent of children receiving deceased donor livers increased and the percent of children dying on the list decreased after PELD/MELD implementation. 3. Excluding children transplanted at status 1, the largest percentage of children are transplanted at a PELD score < 10. 4. Before MELD/PELD 48% of all children receiving deceased donor organs were transplanted at status 1, compared to 41% in the PELD/MELD era. Wide regional variation occurs.

摘要

PELD评分能准确预测慢性肝病儿童在等待名单上3个月内死亡的概率。2. 比较PELD和MELD实施前后的情况，PELD/MELD实施后，接受已故捐赠者肝脏移植的儿童比例增加，在等待名单上死亡的儿童比例下降。3. 排除1级状态下接受移植的儿童，最大比例的儿童是在PELD评分<10时接受移植的。4. 在MELD/PELD之前，所有接受已故捐赠者器官移植的儿童中有48%是在1级状态下移植的，而在PELD/MELD时代这一比例为41%。存在广泛的地区差异。