Acute kidney injury following living donor liver transplantation. 2012

Yusuke Inoue, and Akihiko Soyama, and Mitsuhisa Takatsuki, and Masaaki Hidaka, and Izumi Muraoka, and Takashi Kanematsu, and Susumu Eguchi
Department of Surgery, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.

BACKGROUND Although acute kidney injury (AKI) is regarded as a frequent complication following deceased donor liver transplantation, the incidence of AKI following living donor partial liver transplantation (LDLT) has not yet been sufficiently investigated. METHODS we used two definitions and investigated the influence of AKI on patient and graft survival. The definitions for the degree of AKI were as follows: AKI 1 was characterized by an increase in serum creatinine of 0.5 mg/dL, while AKI 2 was 1.0 mg/dL above the baseline within one wk during the post-operative course. The incidence and its impact were investigated. RESULTS The incidence of AKI 1 was 63.1%. The development of AKI 1 was correlated with intra-operative blood loss (p = 0.013), the length of post-operative ICU stay, and hospitalization (p = 0.020 and 0.038). The incidence of AKI 2 was 27.7%, and AKI 2 was correlated with the length of both the post-operative ICU and hospital stays. The development of AKI 2 was significantly correlated with graft survival (p = 0.015). CONCLUSIONS Recognizing the peri-operative risk and development of AKI is important, because AKI post-LDLT is associated with a poorer graft survival and a possible worse long-term prognosis.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D007564 Japan A country in eastern Asia, island chain between the North Pacific Ocean and the Sea of Japan, east of the Korean Peninsula. The capital is Tokyo. Bonin Islands
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005919 Glomerular Filtration Rate The volume of water filtered out of plasma through glomerular capillary walls into Bowman's capsules per unit of time. It is considered to be equivalent to INULIN clearance. Filtration Rate, Glomerular,Filtration Rates, Glomerular,Glomerular Filtration Rates,Rate, Glomerular Filtration,Rates, Glomerular Filtration
D006084 Graft Rejection An immune response with both cellular and humoral components, directed against an allogeneic transplant, whose tissue antigens are not compatible with those of the recipient. Transplant Rejection,Rejection, Transplant,Transplantation Rejection,Graft Rejections,Rejection, Graft,Rejection, Transplantation,Rejections, Graft,Rejections, Transplant,Rejections, Transplantation,Transplant Rejections,Transplantation Rejections

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