Pre-Transplantation Assessment of Recipient

Pre-transplantation assessment of a liver transplant recipient is a comprehensive process to determine their suitability for the procedure and optimize outcomes. Here’s an overview:

Key Components of Assessment

1. Medical Evaluation:

• Liver Disease Severity: Assessed using scores like MELD (Model for End-Stage Liver Disease) to prioritize candidates.
• Comorbidities: Evaluation of heart, lung, and kidney function to ensure the patient can tolerate surgery.
• Infections: Screening for active infections, including viral hepatitis and HIV.
• Cancer Screening: Ensures no untreated malignancies outside the liver.

2. Psychosocial Assessment:

• Mental Health: Evaluates emotional readiness and ability to adhere to post-transplant care.
• Support System: Ensures the patient has adequate family or caregiver support during recovery.

3. Lifestyle Factors:

• Substance Use: Patients must abstain from alcohol and drugs, with evidence of sustained sobriety if applicable.
• Nutrition: Nutritional status is assessed and optimized pre-surgery.

4. Immunological Testing:

• Blood typing and tissue matching to reduce the risk of organ rejection.

5. Financial and Logistical Planning:

• Ensures the patient has access to necessary medications and follow-up care.