Evidence map›Paper›PMID 36522695›Full record

ArticleBMC anesthesiology2022

The perioperative period of liver transplantation from unconventional extended criteria donors: data from two high-volume centres.

Claudia Pescarissi, Beatrice Penzo, Davide Ghinolfi, Quirino Lai, Lucia Bindi, Riccardo DeCarlis, Fabio Melandro, Emanuele Balzano, Paolo DeSimone, Luciano DeCarlis and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Claudia PescarissiTransplant Anesthesia and Critical Care, University of Pisa Medical School Hospital, Via Paradisa 2 - 56124, Pisa, Italy.
Beatrice PenzoDepartment of Anesthesia, ASST GOM Niguarda, Milan, Italy.
Davide GhinolfiHepatobiliary Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.
Quirino LaiSapienza University of Rome, AOU Umberto I Policlinico of Rome, Rome, Italy.
Lucia BindiTransplant Anesthesia and Critical Care, University of Pisa Medical School Hospital, Via Paradisa 2 - 56124, Pisa, Italy.
Riccardo DeCarlisDepartment of Surgery, ASST GOM Niguarda, Milano, Italy.
Fabio MelandroHepatobiliary Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.
Emanuele BalzanoHepatobiliary Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.
Paolo DeSimoneHepatobiliary Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.
Luciano DeCarlis *School of Medicine, University of Milano-Bicocca, Milano, Italy.
Andrea DeGasperi *Department of Anesthesia, ASST GOM Niguarda, Milan, Italy.
Italian Collaborative Group on Liver Transplantation from Extended Criteria Donation
Giandomenico L Biancofiore *Transplant Anesthesia and Critical Care, University of Pisa Medical School Hospital, Via Paradisa 2 - 56124, Pisa, Italy. giandomenico.biancofiore@unipi.it.
University of Pisa · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITPoliclinico Umberto I · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs literature largely focuses on long-term outcomes, this study aimed at elucidating the perioperative outcomes of liver transplant patients receiving a graft from two groups of unconventional expanded criteria donors: brain dead aged > 80 years and cardiac dead.

methodsData of 247 cirrhotic patients transplanted at two high volume liver transplant centers were analysed. Confounders were balanced using a stabilized inverse probability therapy weighting and a propensity score for each patient on the original population was generated. The score was created using a multivariate logistic regression model considering a Comprehensive Complication Index ≥ 42 (no versus yes) as the dependent variable and 11 possible clinically relevant confounders as covariate.

resultsForty-four patients received the graft from a cardiac-dead donor and 203 from a brain-dead donor aged > 80 years. Intraoperatively, cardiac-dead donors liver transplant cases required more fresh frozen plasma units (P < 0.0001) with similar reduced need of fibrinogen to old brain-dead donors cases. The incidence of reperfusion syndrome was similar (P = 0.80). In the Intensive Care Unit, both the groups presented a comparable low need for blood transfusions, renal replacement therapy and inotropes. Cardiac-dead donors liver transplantations required more time to tracheal extubation (P < 0.0001) and scored higher Comprehensive Complication Index (P < 0.0001) however the incidence of a severe complication status (Comprehensive Complication Index  ≥ 42) was similar (P = 0.52). ICU stay (P = 0.97), total hospital stay (P = 0.57), in hospital (P = 1.00) and 6 months (P = 1.00) death were similar.

conclusionSelected octogenarian and cardiac-dead donors can be used safely for liver transplantation.

Indexed as

Liver TransplantationAged, 80 and overBrain DeathHumansPerioperative PeriodRetrospective StudiesTissue DonorsComplicationsIntensive care unitLiver transplantationOrgan donationPerioperative care

Identifiers

PMID36522695
PMCPMC9753359
OpenAlexW4312019422

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.