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. 2023 Jul 26;6(2):201–214. doi: 10.3138/canlivj-2022-0026

Table 4:

Criteria for standard exception points for pediatrics

Indication British Columbia Alberta Ontario Quebec Nova Scotia
Chronic liver disease 24 points-increase by 4 points every 90 days; maximum 30 points
If complications, (mechanical ventilation, severe GI bleed (30 cc/kg of replacement/24 h), GCS <10, or renal failure and need for HD), 40 points
24 points-increase by 3 points every 90 days; maximum 39 points
If complications, (mechanical ventilation, severe GI bleed (30 cc/kg of replacement/24 h), GCS <10, or renal failure and need for HD) 43 points
Liver malignancy 30 points and if not transplanted in 1 month, assigned 39 points
Hepatopulmonary syndrome 30 points and if not transplanted in 1 month, assigned 39 points
Portopulmonary hypertension 30 points and if not transplanted in 1 month, assigned 39 points
Hepatoblastoma 30 points and if not transplanted within one month increase to Status 4 30 points and if not transplanted in 30 days, assigned 38 points
Metabolic conditions Baseline 29 points, 2-point increase every 60 days; maximum 39 points
Urea cycle defect with rapidly progressive disease, 40 points
Baseline 29 points, 3-point increase every 90 days; maximum 38 points
Multivisceral transplant (same donor) List status 3F Liver-lung or liver-heart: 42 points
Liver-bowel: Baseline 30 points, if not transplanted in 30 days assigned 38 points
Liver-kidney/liver-pancreas: Baseline 22 points, increase by 3 points every 90 days; maximum 40 points
Primary hyperoxaluria For children <1 year old, baseline 40 points Baseline 22 points, increase by 3 points every 90 days; maximum 40 points

GI = Gastrointestinal; GCS = Glasgow Coma Score; HD = Hemodialysis