UNOS Donor Matching Process
- A liver is donated from a person who just died.
- The donor’s medical information is put into the UNOS database.
- UNOS notifies the Children’s Liver Transplant coordinator that a liver is available.
- The pediatric liver transplant surgeon and team review whether to accept or decline the organ. This is based on whether the liver is the best match for your child.
- The Children’s Liver Transplant coordinator calls you when a liver is available and a match.
- To understand how patients are matched on the national waiting list:
- Think of the list as a “pool” of patients.
- When an organ is available, UNOS searches the entire “pool” for a match.
- The liver is given to the child with the highest PELD score and with the same blood type and size.
Other factors include:
- The patient’s current medical status
- Location of the liver and the child
- Amount of time that the child has been on the waiting list
- Blood type: your child can receive a liver from a person with the same or with a different blood type.
- The same blood type: The four most common blood types are O, A, B and AB. Pediatric liver transplants are typically performed with the same blood type. This also includes type O, which is a “universal donor” and can be given to types A or B.
- A different blood type: Under urgent conditions your child may receive a different blood type liver, such as a blood type A to type B.