Are drowned donors marginal donors? A single pediatric center experience

Kayla R. Kumm, N. Thao N. Galván, Sarah Koohmaraie, Abbas Rana, Michael Kueht, Katherine Baugh, Liu Hao, Dor Yoeli, Ronald Cotton, Christine A. O'Mahony, John A. Goss

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Drowning, a common cause of death in the pediatric population, is a potentially large donor pool for OLT. Anecdotally, transplant centers have deemed these organs high risk over concerns for infection and graft dysfunction. We theorized drowned donor liver allografts do not portend worse outcomes and therefore should not be excluded from the donation pool. We reviewed our single-center experience of pediatric OLTs between 1988 and 2015 and identified 33 drowned donor recipients. These OLTs were matched 1:2 to head trauma donor OLTs from our center. A chart review assessed postoperative peak AST and ALT, incidence of HAT, graft and recipient survival. Recipient survival at one year between patients with drowned donor vs head trauma donor allografts was not statistically significant (94% vs 97%, P=.63). HAT incidence was 6.1% in the drowned donor group vs 7.6% in the control group (P=.78). Mean postoperative peak AST and ALT was 683 U/L and 450 U/L for drowned donors vs 1119 U/L and 828 U/L in the matched cohort. These results suggest drowned donor liver allografts do not portend worse outcomes in comparison with those procured from head trauma donors.

Original languageEnglish (US)
Article numbere13009
JournalPediatric Transplantation
Volume21
Issue number6
DOIs
StatePublished - Sep 2017
Externally publishedYes

Keywords

  • drowned donor
  • drowning
  • marginal donor
  • orthotopic liver transplantation
  • pediatric liver transplantation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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  • Cite this

    Kumm, K. R., Galván, N. T. N., Koohmaraie, S., Rana, A., Kueht, M., Baugh, K., Hao, L., Yoeli, D., Cotton, R., O'Mahony, C. A., & Goss, J. A. (2017). Are drowned donors marginal donors? A single pediatric center experience. Pediatric Transplantation, 21(6), [e13009]. https://doi.org/10.1111/petr.13009