Liver Transplantation
Conditions
Brief summary
Background. Acute renal failure after liver transplantation (LT) requiring continuous renal replacement therapy (CRRT) adversely affects patient survival. However, there are few reports to assess the predictors for postoperative CRRT in liver transplant patients. The investigators undertook this study to identify perioperative factors that would predict patients at risk of CRRT. Patients and Methods. The investigators retrospectively reviewed the data of 148 liver transplant patients from January 2007 to November 2010 at Severance Hospital, Yonsei University HealthSystem, in Seoul, Korea. The number of patients treated with CRRT was 44 (18 patients from living and 26 from deceased donors) and those without CRRT was 104. Univariate and stepwise logistic multivariate analyses were performed.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 19-65 year * Liver transplant patients from January 2008 to December 2011
Exclusion criteria
* Patients treated with CRRT before transplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| status before operation | 1 day before operation | laboratory data(ex : total bilirubin, albumin, coagulation factors, blood gas analysis(arterial CO2 pressure. Blood urea nitrate/Creatinine, Hemoglobin/Hematocrit.) |
| the amount of ascites | intraoperative | — |
| the duration of anesthesia and operation | intraoperative | — |
| intraoperative hemodynamic instability | intraoperative | — |
| intraoperative bleeding | intraoperative | — |
| Intraoperative urine output | intraoperative | — |
| the types of donation(living or deceased donor) | intraoperative | — |
| survival rate | on the postoperative 28th days, 365 days | — |
| postoperative bleeding amount | on the postoperative 28th days, 365 days. | — |
| postoperative CRRT(continuous renal replacement therapy), | on the postoperative 28th days, 365days | — |
| mortality | on the postoperative 28th days, 365 days. | — |
Countries
South Korea