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Volume 359:2615 December 11, 2008 Number 24
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Hyponatremia and Mortality among Patients Waiting for Liver Transplantation

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by Kim, W. R.
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To the Editor: Contrary to the statement by Kim et al. (Sept. 4 issue)1 in their article on the prognostic effect of hyponatremia on the survival of patients on the liver-transplant waiting list, organ allocation should not be decided solely on the basis of the severity of the patient's condition. Indeed, if the situation is severe enough, the probability of death will remain high, on account of ongoing, irreversible multiple organ failure, even with the use of transplantation. What should guide us in deciding who gets a transplant is the estimated prognostic difference gained by allocating a liver to the . . . [Full Text of this Article]



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