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 |
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| 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 |
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| 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