RT Journal Article
T1 Risk factors for renal dysfunction in the postoperative course of liver transplant.
A1 Lebrón-Gallardo, Miguel
A1 Herrera-Gutiérrez, Manuel Enrique
A1 Seller Pérez, Gemma Luisa
A1 Curiel Balsera, Emilio
A1 Fernández-Ortega, Juan F.
A1 Quesada García, Guillermo
K1 Hígado - Trasplante
K1 Riñones - Enfermedades - Factores de riesgo
AB Renal dysfunction (RD) is a frequent complication after orthotopic liver transplantation (OLT), and it has an unfavorable effect on the prognosis of OLT patients. The purpose of our study was to identify possible risk factors for RD and its impact on survival. The possible relations of pre-, peri-, and postoperative variables to early-onset renal dysfunction (ED) (within the 1st 3 months), late-onset renal dysfunction (LD) (between 3 and 6 months), and chronic renal dysfunction (CRD) (beyond 6 months) was analyzed. We studied 245 liver transplants in 241 patients. RD was found in 64.1% of these patients, and 69% of the patients with RD recovered. LD was found in 16.7% of the transplant patients. In the multivariate analysis, baseline serum creatinine, perioperative volume of transfused bank-red blood cells, Acute Physiology and Chronic Health Evaluation (APACHE) II score at intensive care unit (ICU) admission, and infection were associated with the development of RD. Overall mortality was 27.8% and for the RD group, it was 33.5%. LD, but not ED, was related to lower survival (together with graft dysfunction and APACHE II score at ICU admission). In conclusion, ED is frequent alter OLT and is related to preexisting RD, the volume of transfused bank--red blood cells during surgery, higher APACHE II score at ICU admission, and infection. In general, the prognosis for ED is good, in contrast with that of LD, which is associated with diminished survival.
PB The American Association for the Study of Liver Diseases
YR 2004
FD 2004-11
LK https://hdl.handle.net/10630/41143
UL https://hdl.handle.net/10630/41143
LA eng
NO Lebrón Gallardo M, Herrera Gutierrez ME, Seller Pérez G, Curiel Balsera E, Fernández Ortega JF, Quesada García G. Risk factors for renal dysfunction in the postoperative course of liver transplant. Liver Transpl. 2004 Nov;10(11):1379-85. doi: 10.1002/lt.20215. PMID: 15497160.
NO https://openpolicyfinder.jisc.ac.uk/id/publication/15949?from=single_hit
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026