You are here

Case Report Form

Reasons organ declined

Donor characteristics

	First reason	Second reason	Third reason	None
Offer withdrawn	Offer withdrawn - First reason	Offer withdrawn - Second reason	Offer withdrawn - Third reason	Offer withdrawn - None
Offer waived	Offer waived - First reason	Offer waived - Second reason	Offer waived - Third reason	Offer waived - None
Donor recovered	Donor recovered - First reason	Donor recovered - Second reason	Donor recovered - Third reason	Donor recovered - None
DCD donor unlikely to die	DCD donor unlikely to die - First reason	DCD donor unlikely to die - Second reason	DCD donor unlikely to die - Third reason	DCD donor unlikely to die - None
Donor unstable	Donor unstable - First reason	Donor unstable - Second reason	Donor unstable - Third reason	Donor unstable - None
Donor cause of death	Donor cause of death - First reason	Donor cause of death - Second reason	Donor cause of death - Third reason	Donor cause of death - None
Donor age	Donor age - First reason	Donor age - Second reason	Donor age - Third reason	Donor age - None
Donor past medical history	Donor past medical history - First reason	Donor past medical history - Second reason	Donor past medical history - Third reason	Donor past medical history - None
Donor DCD	Donor DCD - First reason	Donor DCD - Second reason	Donor DCD - Third reason	Donor DCD - None
Donor size	Donor size - First reason	Donor size - Second reason	Donor size - Third reason	Donor size - None
Poor donor LFTs	Poor donor LFTs - First reason	Poor donor LFTs - Second reason	Poor donor LFTs - Third reason	Poor donor LFTs - None
Donor infection	Donor infection - First reason	Donor infection - Second reason	Donor infection - Third reason	Donor infection - None
Donor tumour	Donor tumour - First reason	Donor tumour - Second reason	Donor tumour - Third reason	Donor tumour - None
Donor virology	Donor virology - First reason	Donor virology - Second reason	Donor virology - Third reason	Donor virology - None
Donor high risk behaviour	Donor high risk behaviour - First reason	Donor high risk behaviour - Second reason	Donor high risk behaviour - Third reason	Donor high risk behaviour - None
Donor hypernatraemia	Donor hypernatraemia - First reason	Donor hypernatraemia - Second reason	Donor hypernatraemia - Third reason	Donor hypernatraemia - None
Other reason	Other reason - First reason	Other reason - Second reason	Other reason - Third reason	Other reason - None

Matching

	First reason	Second reason	Third reason	None
X-match positive	X-match positive - First reason	X-match positive - Second reason	X-match positive - Third reason	X-match positive - None
Unable to x-match	Unable to x-match - First reason	Unable to x-match - Second reason	Unable to x-match - Third reason	Unable to x-match - None
ABO mismatch	ABO mismatch - First reason	ABO mismatch - Second reason	ABO mismatch - Third reason	ABO mismatch - None
Age mismatch	Age mismatch - First reason	Age mismatch - Second reason	Age mismatch - Third reason	Age mismatch - None
HLA mismatch	HLA mismatch - First reason	HLA mismatch - Second reason	HLA mismatch - Third reason	HLA mismatch - None
Size mismatch	Size mismatch - First reason	Size mismatch - Second reason	Size mismatch - Third reason	Size mismatch - None
Anticipated positive crossmatch	Anticipated positive crossmatch - First reason	Anticipated positive crossmatch - Second reason	Anticipated positive crossmatch - Third reason	Anticipated positive crossmatch - None
Other	Other - First reason	Other - Second reason	Other - Third reason	Other - None

Retrieval

	First reason	Second reason	Third reason	None
Prolonged time to asystole	Prolonged time to asystole - First reason	Prolonged time to asystole - Second reason	Prolonged time to asystole - Third reason	Prolonged time to asystole - None
Warm ischaemia time too long	Warm ischaemia time too long - First reason	Warm ischaemia time too long - Second reason	Warm ischaemia time too long - Third reason	Warm ischaemia time too long - None
Donor arrested prematurely	Donor arrested prematurely - First reason	Donor arrested prematurely - Second reason	Donor arrested prematurely - Third reason	Donor arrested prematurely - None
Poor in situ perfusion	Poor in situ perfusion - First reason	Poor in situ perfusion - Second reason	Poor in situ perfusion - Third reason	Poor in situ perfusion - None
Enteric contamination	Enteric contamination - First reason	Enteric contamination - Second reason	Enteric contamination - Third reason	Enteric contamination - None
Organ damage (retrieval injury)	Organ damage (retrieval injury) - First reason	Organ damage (retrieval injury) - Second reason	Organ damage (retrieval injury) - Third reason	Organ damage (retrieval injury) - None
Organ damage (pre-mortem)	Organ damage (pre-mortem) - First reason	Organ damage (pre-mortem) - Second reason	Organ damage (pre-mortem) - Third reason	Organ damage (pre-mortem) - None
Organ trauma - contusion, laceration	Organ trauma - contusion, laceration - First reason	Organ trauma - contusion, laceration - Second reason	Organ trauma - contusion, laceration - Third reason	Organ trauma - contusion, laceration - None
Poor liver function at retrieval	Poor liver function at retrieval - First reason	Poor liver function at retrieval - Second reason	Poor liver function at retrieval - Third reason	Poor liver function at retrieval - None
Extensive Adhesions	Extensive Adhesions - First reason	Extensive Adhesions - Second reason	Extensive Adhesions - Third reason	Extensive Adhesions - None
Poor NRP parameters	Poor NRP parameters - First reason	Poor NRP parameters - Second reason	Poor NRP parameters - Third reason	Poor NRP parameters - None
Other	Other - First reason	Other - Second reason	Other - Third reason	Other - None

Organ characteristics

	First reason	Second reason	Third reason	None
Cold ischaemia time too long	Cold ischaemia time too long - First reason	Cold ischaemia time too long - Second reason	Cold ischaemia time too long - Third reason	Cold ischaemia time too long - None
Organ damage (at transplant centre)	Organ damage (at transplant centre) - First reason	Organ damage (at transplant centre) - Second reason	Organ damage (at transplant centre) - Third reason	Organ damage (at transplant centre) - None
Steatosis (retrieval surgeon assessment)	Steatosis (retrieval surgeon assessment) - First reason	Steatosis (retrieval surgeon assessment) - Second reason	Steatosis (retrieval surgeon assessment) - Third reason	Steatosis (retrieval surgeon assessment) - None
Steatosis (recipient surgeon assessment)	Steatosis (recipient surgeon assessment) - First reason	Steatosis (recipient surgeon assessment) - Second reason	Steatosis (recipient surgeon assessment) - Third reason	Steatosis (recipient surgeon assessment) - None
Steatosis (biopsy assessment)	Steatosis (biopsy assessment) - First reason	Steatosis (biopsy assessment) - Second reason	Steatosis (biopsy assessment) - Third reason	Steatosis (biopsy assessment) - None
Fibrosis	Fibrosis - First reason	Fibrosis - Second reason	Fibrosis - Third reason	Fibrosis - None
Anatomical anomaly	Anatomical anomaly - First reason	Anatomical anomaly - Second reason	Anatomical anomaly - Third reason	Anatomical anomaly - None
Whole organ cut down for transplantation	Whole organ cut down for transplantation - First reason	Whole organ cut down for transplantation - Second reason	Whole organ cut down for transplantation - Third reason	Whole organ cut down for transplantation - None
Poor machine perfusion characteristics	Poor machine perfusion characteristics - First reason	Poor machine perfusion characteristics - Second reason	Poor machine perfusion characteristics - Third reason	Poor machine perfusion characteristics - None

Logistics

	First reason	Second reason	Third reason	None
Insufficient time	Insufficient time - First reason	Insufficient time - Second reason	Insufficient time - Third reason	Insufficient time - None
Centre already transplanting	Centre already transplanting - First reason	Centre already transplanting - Second reason	Centre already transplanting - Third reason	Centre already transplanting - None
Distance	Distance - First reason	Distance - Second reason	Distance - Third reason	Distance - None
No beds	No beds - First reason	No beds - Second reason	No beds - Third reason	No beds - None
No staff	No staff - First reason	No staff - Second reason	No staff - Third reason	No staff - None
No theatre	No theatre - First reason	No theatre - Second reason	No theatre - Third reason	No theatre - None
Transport difficulties	Transport difficulties - First reason	Transport difficulties - Second reason	Transport difficulties - Third reason	Transport difficulties - None
No machine perfusion available (NMP/HOPE)	No machine perfusion available (NMP/HOPE) - First reason	No machine perfusion available (NMP/HOPE) - Second reason	No machine perfusion available (NMP/HOPE) - Third reason	No machine perfusion available (NMP/HOPE) - None
NRP not available	NRP not available - First reason	NRP not available - Second reason	NRP not available - Third reason	NRP not available - None
Donor cross-clamp time too imminent	Donor cross-clamp time too imminent - First reason	Donor cross-clamp time too imminent - Second reason	Donor cross-clamp time too imminent - Third reason	Donor cross-clamp time too imminent - None
Other reason	Other reason - First reason	Other reason - Second reason	Other reason - Third reason	Other reason - None

Center_reasons

	First reason	Second reason	Third reason	None
No suitable recipients	No suitable recipients - First reason	No suitable recipients - Second reason	No suitable recipients - Third reason	No suitable recipients - None
Change in on call clinician. New clinician declined organ	Change in on call clinician. New clinician declined organ - First reason	Change in on call clinician. New clinician declined organ - Second reason	Change in on call clinician. New clinician declined organ - Third reason	Change in on call clinician. New clinician declined organ - None
Centre closed	Centre closed - First reason	Centre closed - Second reason	Centre closed - Third reason	Centre closed - None
Multiple other organs accepted	Multiple other organs accepted - First reason	Multiple other organs accepted - Second reason	Multiple other organs accepted - Third reason	Multiple other organs accepted - None
No response to fast-track offer	No response to fast-track offer - First reason	No response to fast-track offer - Second reason	No response to fast-track offer - Third reason	No response to fast-track offer - None
Other	Other - First reason	Other - Second reason	Other - Third reason	Other - None

Recipient characteristics

	First reason	Second reason	Third reason	None
Recipient unfit	Recipient unfit - First reason	Recipient unfit - Second reason	Recipient unfit - Third reason	Recipient unfit - None
Recipient died	Recipient died - First reason	Recipient died - Second reason	Recipient died - Third reason	Recipient died - None
Recipient unavailable	Recipient unavailable - First reason	Recipient unavailable - Second reason	Recipient unavailable - Third reason	Recipient unavailable - None
Recipient refused	Recipient refused - First reason	Recipient refused - Second reason	Recipient refused - Third reason	Recipient refused - None
Recipient did not need transplantation	Recipient did not need transplantation - First reason	Recipient did not need transplantation - Second reason	Recipient did not need transplantation - Third reason	Recipient did not need transplantation - None
Split liver not suitable for recipient	Split liver not suitable for recipient - First reason	Split liver not suitable for recipient - Second reason	Split liver not suitable for recipient - Third reason	Split liver not suitable for recipient - None
Recipient travel time too long	Recipient travel time too long - First reason	Recipient travel time too long - Second reason	Recipient travel time too long - Third reason	Recipient travel time too long - None
Alternative organ already accepted for this recipient	Alternative organ already accepted for this recipient - First reason	Alternative organ already accepted for this recipient - Second reason	Alternative organ already accepted for this recipient - Third reason	Alternative organ already accepted for this recipient - None
Other reason	Other reason - First reason	Other reason - Second reason	Other reason - Third reason	Other reason - None

COVID-19 Related

	First reason	Second reason	Third reason	None
Centre - reduced patient list, no suitable recipients due to COVID-19	Centre - reduced patient list, no suitable recipients due to COVID-19 - First reason	Centre - reduced patient list, no suitable recipients due to COVID-19 - Second reason	Centre - reduced patient list, no suitable recipients due to COVID-19 - Third reason	Centre - reduced patient list, no suitable recipients due to COVID-19 - None
Centre - closed due to COVID-19 risk	Centre - closed due to COVID-19 risk - First reason	Centre - closed due to COVID-19 risk - Second reason	Centre - closed due to COVID-19 risk - Third reason	Centre - closed due to COVID-19 risk - None
Centre - closed due to COVID-19 staff absences	Centre - closed due to COVID-19 staff absences - First reason	Centre - closed due to COVID-19 staff absences - Second reason	Centre - closed due to COVID-19 staff absences - Third reason	Centre - closed due to COVID-19 staff absences - None
Donor - COVID-19 infection risk	Donor - COVID-19 infection risk - First reason	Donor - COVID-19 infection risk - Second reason	Donor - COVID-19 infection risk - Third reason	Donor - COVID-19 infection risk - None
Logistics - COVID-19 related transport difficulty	Logistics - COVID-19 related transport difficulty - First reason	Logistics - COVID-19 related transport difficulty - Second reason	Logistics - COVID-19 related transport difficulty - Third reason	Logistics - COVID-19 related transport difficulty - None
Logistics - No “COVID-19 free” ICU beds available	Logistics - No “COVID-19 free” ICU beds available - First reason	Logistics - No “COVID-19 free” ICU beds available - Second reason	Logistics - No “COVID-19 free” ICU beds available - Third reason	Logistics - No “COVID-19 free” ICU beds available - None
Logistics - No “COVID-19 free” ward beds available	Logistics - No “COVID-19 free” ward beds available - First reason	Logistics - No “COVID-19 free” ward beds available - Second reason	Logistics - No “COVID-19 free” ward beds available - Third reason	Logistics - No “COVID-19 free” ward beds available - None
Logistics - Limited resources due to COVID-19	Logistics - Limited resources due to COVID-19 - First reason	Logistics - Limited resources due to COVID-19 - Second reason	Logistics - Limited resources due to COVID-19 - Third reason	Logistics - Limited resources due to COVID-19 - None
Recipient - unfit – COVID-19	Recipient - unfit – COVID-19 - First reason	Recipient - unfit – COVID-19 - Second reason	Recipient - unfit – COVID-19 - Third reason	Recipient - unfit – COVID-19 - None
Recipient - declined by centre due to COVID-19 risk in recipient	Recipient - declined by centre due to COVID-19 risk in recipient - First reason	Recipient - declined by centre due to COVID-19 risk in recipient - Second reason	Recipient - declined by centre due to COVID-19 risk in recipient - Third reason	Recipient - declined by centre due to COVID-19 risk in recipient - None
Recipient - declined by recipient due to COVID-19 risk with transplant	Recipient - declined by recipient due to COVID-19 risk with transplant - First reason	Recipient - declined by recipient due to COVID-19 risk with transplant - Second reason	Recipient - declined by recipient due to COVID-19 risk with transplant - Third reason	Recipient - declined by recipient due to COVID-19 risk with transplant - None
Retrieval - donor positive for COVID-19 after offering	Retrieval - donor positive for COVID-19 after offering - First reason	Retrieval - donor positive for COVID-19 after offering - Second reason	Retrieval - donor positive for COVID-19 after offering - Third reason	Retrieval - donor positive for COVID-19 after offering - None

Comments (optional)