[Risk factors for renal failure during the early period after standard orthotopic liver transplantation without veno venous bypass]. 2006

Zhong-yang Shen, and Wei-ping Zheng, and Yi-he Liu
Department of Transplantation, Tianjin First Central Hospital, Tianjin 300192, China.

OBJECTIVE To study the risk factors for renal failure during the early period after standard orthotopic liver transplantation (SOLT) without veno venous bypass (VVBP). METHODS Clinical data of 100 cases in whom SOLT without VVBP was performed were reviewed. They were divided into two groups according to serum creatine level just after operation. In both groups, Child-Turcotte-Pugh (CTP) score, model for end stage liver disease (MELD) score, acute physiology and chronic health evaluation III (APACHE III) scores, 8 laboratory variables before operation and 10 variables during the operation were analyzed, in order to screen presumable risk factors. RESULTS With univariate analysis, it was found that there was significant difference between the two groups in the following variables: CTP score, MELD score, APACHE III score, duration of operation and anhepatic phase, amount of blood loss, lowest mean artery pressure, and duration of low blood pressure. With logistic regression analysis, it was revealed that CTP score, volume of blood loss, and duration of anhepatic phase and low blood pressure were risk factors for development of acute renal failure. CONCLUSIONS CTP score, volume of blood loss, duration of anhepatic phase and low blood pressure are risk factors for development of acute renal failure after SOLT without VVBP.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D016031 Liver Transplantation The transference of a part of or an entire liver from one human or animal to another. Grafting, Liver,Hepatic Transplantation,Liver Transplant,Transplantation, Hepatic,Transplantation, Liver,Hepatic Transplantations,Liver Grafting,Liver Transplantations,Liver Transplants,Transplant, Liver

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