{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T17:02:35Z","timestamp":1794070955723,"version":"4.8.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2020,12,27]],"date-time":"2020-12-27T00:00:00Z","timestamp":1609027200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Hepatol. Commun."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Liver transplantation (LT) is definitive treatment for end\u2010stage liver disease. This study evaluated factors predicting successful evaluation in patients transferred for urgent inpatient LT evaluation. Eighty\u2010two patients with cirrhosis were transferred for urgent LT evaluation from January 2016 to December 2018. Alcohol\u2010associated liver disease was the common etiology of liver disease (42\/82). Of these 82 patients, 35 (43%) were declined for LT, 27 (33%) were wait\u2010listed for LT, 5 (6%) improved, and 15 (18%) died. Psychosocial factors were the most common reasons for being declined for LT (49%). Predictors for listing and receiving LT on multivariate analysis included Hispanic race (odds ratio [OR], 1.89; <jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.003), Asian race (OR, 1.52<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.02), non\u2010Hispanic ethnicity (OR, 1.49<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.04), hyponatremia (OR, 1.38; <jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.04), serum albumin (OR, 1.13<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.01), and Model for End\u2010Stage Liver Disease (MELD)\u2010Na (OR, 1.02<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.003). Public insurance (i.e., Medicaid) was a predictor of not being listed for LT on multivariate analysis (OR, 0.77<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.02). Excluding patients declined for psychosocial reasons, predictors of being declined for LT on multivariate analysis included Chronic Liver Failure Consortium (CLIF\u2010C) score &gt;51.5 (OR, 1.26<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.03), acute\u2010on\u2010chronic liver failure (ACLF) grade 3 (OR, 1.41<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.01), hepatorenal syndrome (HRS) (OR, 1.38<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.01), and respiratory failure (OR, 1.51<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0=\u00a00.01). Predictors of 3\u2010month mortality included CLIF\u2010C score &gt;51.5 (hazard ratio [HR], 2.52; <jats:italic toggle=\"yes\">P<\/jats:italic>\u00a0=\u00a00.04) and intensive care unit (HR, 8.25<jats:italic toggle=\"yes\">; P<\/jats:italic>\u00a0&lt;\u00a00.001). <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic> MELD\u2010Na, albumin, hyponatremia, ACLF grade 3, HRS, respiratory failure, public insurance, Hispanic race, Asian race, and non\u2010Hispanic ethnicity predicted liver transplant outcome. Lack of psychosocial support was a major reason for being declined for LT. The CLIF\u2010C score predicted being declined for LT and mortality.<\/jats:p>","DOI":"10.1002\/hep4.1644","type":"journal-article","created":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T05:30:28Z","timestamp":1609133428000},"page":"516-525","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":14,"title":["Predictors of Outcomes of Patients Referred to a Transplant Center for Urgent Liver Transplantation Evaluation"],"prefix":"10.1097","volume":"5","author":[{"given":"Omar","family":"Alshuwaykh","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3874-6612","authenticated-orcid":false,"given":"Allison","family":"Kwong","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9588-9364","authenticated-orcid":false,"given":"Aparna","family":"Goel","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Cheung","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8819-7511","authenticated-orcid":false,"given":"Renumathy","family":"Dhanasekaran","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aijaz","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tami","family":"Daugherty","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepti","family":"Dronamraju","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radhika","family":"Kumari","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3030-860X","authenticated-orcid":false,"given":"W. Ray","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindie H.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos O.","family":"Esquivel","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waldo","family":"Concepcion","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Melcher","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Bonham","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Pham","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Gallo","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation,Stanford University Medical Center,Stanford,CA,USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul 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