Liver Transplantation (LT)
Conditions
Keywords
liver transplantation, glycemic variability, postoperative infections, surgical site infection
Brief summary
This study aims to evaluate whether intraoperative glycemic variability (GV) is independently associated with the risk of infectious complications within 30 days after elective liver transplantation. This is an observational study with no intervention beyond standard perioperative care. Glycemic and clinical outcome data will be obtained from routinely collected medical records of patients undergoing liver transplantation at the 2nd Department of Anesthesiology and Intensive Care, Medical University of Warsaw.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age over 18 years * Elective orthotopic liver transplantation
Exclusion criteria
* Liver retransplantation * multi-organ transplantation * Urgent/emergency transplantation * Active infection under antibiotic treatment at the time of surgery * Preoperative systemic inflammatory response syndrome (SIRS) * Incomplete intraoperative glycemic data * Pregnancy * Participation in another interventional study that could affect glycemic control or infection risk
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of at least one infectious complication within 30 days after liver transplantation | 30 days | Binary outcome (yes/no), including: pneumonia (clinical, radiological, and microbiological criteria), urinary tract infection (clinical symptoms + positive urine culture), surgical site infection per CDC criteria, sepsis/septic shock per Sepsis-3 criteria. |
Countries
Poland