Unacceptable criteria admit ability to pay, patient's office to society, perceived obstacles to treatment (e.g. antisocial behavior), patient's contribution to their medical disorder (e.g. alcoholism), and past use of medical resources (Neuberger and James, 1999). The clinical criteria for medical contraindications are clearly defined. There are differences between states, however, on how these criteria are applied. In North Carolina, for instance, the source and approachability of funding has the greatest influence on a patient's acknowledge of a liver transplant. Some transplant units are skittish about giving liver transplants to patients with alcoholic liver unhealthiness and those who use illegal drugs. Age is also a reckon in some transplant decisions.
In 2001, UNOS and the Organ procural and Transplantation Network (OPTN) endorsed the further development of the Model for give notice fix up Liver Disease (MELD) and Pediatric End Stage Liver Disease (PELD) for prioritizing patients awaiting liver transplantation according to their short-term risk of death without a transplant (UNOS, 2002). UNOS
CPT score >10; end-stage chronic liver disease; staidly ill patient; hospitalized in an ICU
- Criteria for Status 1 remains unchanged; acute liver failure/disease with estimated extract of <7 days (highest priority for liver transplantation)
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