Complication, Death
Conditions
Keywords
Complications, Mortality, Liver transplantation, Platelet count, Survival
Brief summary
Recent experimental and clinical studies have shown that platelets play a critical role in liver ischemia and regeneration. Thrombocytopenia, a frequent and potentially serious condition in liver transplantation (LT) recipients, was shown to be associated with postoperative morbidity and mortality after partial hepatectomy. The investigators aim at evaluating whether postoperative low platelet counts are indicators of short- and long-term outcomes after liver transplantation.
Interventions
Standardized technique of liver transplantation Organ procurement follow the rules of the Swiss transplant society
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>18 years old * End stage liver disease * Cadaveric-donor liver transplantation
Exclusion criteria
* Age \<18 years old * Pregnancy * Living-related liver transplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severe complication after liver transplantation | 90 days | The severity of complications will be graded according to the Clavien-Dindo classification by outcome. Grade III to V complications will be considered as severe. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Primary graft non-function | first postoperative week | Defined as death or retransplantation within the first postoperative week after exclusion of technical, immunological, and infectious causes |
| Delayed graft function | 7 days after liver transplantation | Defined as the presence of at least one of the following parameter at 7 days after LT: serum bilirubin \> 10 mg/dL and International Normalized Ratio (INR) \>1.6 or Alanine aminotransferase serum level (ALT) \>2000UI/L |
Other
| Measure | Time frame |
|---|---|
| Patient survival | 3-year |
Countries
Switzerland