ArticleLiver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society2021
Utility of Preoperative Computed Tomography-Based Body Metrics in Relation to Postoperative Complications in Pediatric Liver Transplantation Recipients.
Article in Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Sarcopenia in pediatric gastroenterology and hepatology: an updated review.Clinical and experimental pediatrics · 2026Article
- Article
- Nonlinear Associations of Visceral and Perirenal Fat with Short-Term Postoperative Complications in Clear Cell Renal Cell Carcinoma Patients.Annals of surgical oncology · 2024Article
- Decrease of Muscle Mass in Young Patients With Neuromuscular Disease: Assessment of Sarcopenia.Journal of Korean medical science · 2023Article
- Preoperative myopenia and myosteatosis and their impact on postoperative complications in children with inflammatory bowel disease.Surgery today · 2023Article
- Review
- Sarcopenia in children with chronic liver disease: Prevalence and impact on liver transplant outcomes.Frontiers in pediatrics · 2022Article
- Impact of muscle mass on the prognosis of liver transplantation for infants with biliary atresia.Frontiers in pediatrics · 2022Article
- Perspectives on Sarcopenia as a Predictor for Outcomes in Pediatric Patients with Chronic Liver Disease.Hepatic medicine : evidence and research · 2022Review
- Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
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Abstract
Computed tomography (CT)-derived body metrics such as skeletal muscle index (SMI), psoas muscle index (PMI), and subcutaneous fat area index (ScFI) are measurable components of sarcopenia, frailty, and nutrition. While these body metrics are advocated in adults for predicting postoperative outcomes after liver transplantation (LT), little is known about their value in pediatric populations. This study assessed the relation between preoperative CT-based body metrics and postoperative short-term outcomes in pediatric LT recipients. Patients aged 0-18 years who underwent a primary LT were retrospectively included (n = 101; median age 0.5 years; range 0.2-17.1). SMI, PMI, and ScFI were derived from preoperative axial CT slices. Postoperative outcomes and complications within 90 days were correlated with the CT-based body metrics. To classify postoperative infections, the Clavien-Dindo (CD) classification was used. Subgroup analyses were performed for age groups (<1, 1-10, and >10 years old). An optimal threshold for test performance was defined using Youden's J-statistic and receiver operating characteristic curve as appropriate. ScFI was significantly (P = 0.001) correlated with moderate to severe postoperative infections (CD grade 3-5) in children aged <1 year, with the optimal ScFI threshold being ≤27.1 cm
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