Research Article

Recipient Age Predicts 20-Year Survival in Pediatric Liver Transplant

Table 1

Demographics and clinical characteristics of allografts and recipients of 1-year survivors.

Survival <20 yearsSurvival >20 years-value

Total recipients31441168NA

Recipient demographics and characteristics
Recipient age5.74 ± 5.994.01 ± 5.20<0.001
Weight (kg)23.40 ± 21.6117.54 ± 18.21<0.001
Diagnosis: biliary atresia432 (13.74%)211 (18.11%)<0.001
Diagnosis: metabolic dysfunction126 (4.01%)75 (6.42%)<0.001
Albumin (mg/dL)3.17 ± 0.703.21 ± 0.690.072
Creatinine0.60 ± 0.820.50 ± 0.80<0.001
Hemodialysis at transplant34 (1.08%)13 (1.11%)0.929
No previous transplants2430 (77.29%)986 (84.42%)<0.001
1 previous transplant362 (11.51%)97 (8.30%)0.002
2 previous transplants51 (1.62%)7 (0.60%)0.010
Intensive care at transplant1017 (32.35%)305 (26.11%)<0.001
Life support at transplant616 (19.59%)174 (14.90%)<0.001
Recipient total bilirubin12.95 ± 11.9312.11 ± 11.830.041
Ascites692 (22.01%)269 (23.03%)0.474
BMI18.88 ± 9.9118.04 ± 9.270.022
Encephalopathy at transplant200 (6.36%)64 (5.50%)0.283
African-American recipient585 (18.60%)157 (13.44%)<0.001
Ventilation at transplant582 (18.51%)161 (13.78%)<0.001
Private insurance688 (21.88%)290 (23.03%)0.040
Previous abdominal surgery666 (21.18%)293 (25.10%)0.006
Time listed before transplant (Years)0.32 ± 0.540.36 ± 0.630.051

Donor and allograft demographics and characteristics
Donor age14.15 ± 15.0010.14 ± 12.11<0.001
African-American donor430 (13.68%)152 (13.01%)0.571
Cause of death: cerebrovascular accident506 (16.09%)142 (12.16%)<0.001
Cause of death: deceased cardiac donor2 (0.06%)2 (0.17%)0.022
Live donor transplant247 (7.86%)76 (6.51%)0.135
Split transplant386 (12.28%)156 (13.36%)0.342
Cold ischemia time (hours)10.57 ± 5.9010.73 ± 6.310.437
Donor total bilirubin0.99 ± 2.630.99 ± 2.620.71
Donor: diabetes mellitus17 (0.54%)4 (0.34%)0.406