ArticlePloS one2017
High MELD score and extended operating time predict prolonged initial ICU stay after liver transplantation and influence the outcome.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Association of Pre-Transplant Tyrosine Kinase Inhibitor Therapy With Tumor Response and Survival in Hepatocellular Carcinoma: A 10-Year Retrospective Cohort Study of 427 Patients.World journal of surgery · 2026Observational
- Development and Internal Validation of a Web-Based Dynamic Nomogram for Dynamic Risk Stratification of Early Bacterial Infection in Liver Transplant Recipients.Annals of transplantation · 2026Article
- Development and internal validation of a predictive nomogram for early postoperative bacterial infections following liver transplantation in patients with hepatocellular carcinoma.Journal of gastrointestinal oncology · 2026Article
- One-year functional and neuropsychological outcomes of liver transplant recipients undergoing prolonged mechanical ventilation.Canadian liver journal · 2026Article
- Predictive model for the risk of paediatric intensive care utilization in children with medical complexity: A longitudinal retrospective cohort study.Nursing in critical care · 2025Article
- A nomogram for predicting early bacterial infection after liver transplantation: a retrospective study.Frontiers in medicine · 2025Article
- Risk Evaluation and Recipient Selection in Adult Liver Transplantation: A Mixed-Methods Survey.Canadian liver journal · 2024Article
- Predictive role of glycocalyx components and MMP-9 in cardiopulmonary bypass patients for ICU stay.Heliyon · 2024Article
- Top Ten Tips Palliative Care Clinicians Should Know About Solid Organ Transplantation.Journal of palliative medicine · 2022Article
- BAR Score Performance in Predicting Survival after Living Donor Liver Transplantation: A Single-Center Retrospective Study.Canadian journal of gastroenterology & hepatology · 2022Article
- Risk factors for prolonged intensive care unit stays in patients after cardiac surgery with cardiopulmonary bypass: A retrospective observational study.International journal of nursing sciences · 2021Article
- Sarcopenia-The Impact on Physical Capacity of Liver Transplant Patients.Life (Basel, Switzerland) · 2021Article
- Impact of the COVID-19 pandemic on liver donation and transplantation: A review of the literature.World journal of gastroenterology · 2021Review
- An international multicenter study of protocols for liver transplantation during a pandemic: A case for quadripartite equipoise.Journal of hepatology · 2020Article
- "Real-time" risk models of postoperative morbidity and mortality for liver transplants.Annals of gastroenterological surgery · 2019Article
- The weekend effect in liver transplantation.PloS one · 2018Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the present study is to determine the incidence of a prolonged (>3 days) initial ICU-stay after liver transplantation (LT) and to identify risk factors for it. PATIENTS AND
methodsWe retrospectively analyzed data of adult recipients who underwent deceased donor first-LT at the University Hospital Essen between 11/2003 and 07/2012 and showed a primary graft function.
resultsOf the 374 recipients, 225 (60.16%) had prolonged ICU-stay. On univariate analysis, donor INR, high doses of vasopressors, "rescue-offer" grafts, being hospitalized at transplant, high urgency cases, labMELD, alcoholic cirrhosis, being on renal dialysis and length of surgery were associated with prolonged ICU-stay. After multivariate analysis, only the labMELD and the operation's length were independently correlated with prolonged ICU-stay. Cut-off values for these variables were 19 and 293.5 min, respectively. Hospital stay was longer for patients with a prolonged initial ICU-stay (p<0.001). Survival rates differed significantly between the two groups at 3 months, 1-year and 5-years after LT (p<0.001).
conclusionsLabMELD and duration of LT were identified as independent predictors for prolonged ICU-stay after LT. Identification of recipients in need of longer ICU-stay could contribute to a more evidenced-based and cost-effective use of ICU facilities in transplant centers.
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