Observational studyBMC emergency medicine2025
Characterization of emergency department visits in pediatric patients within first year of liver transplantation: ten years experience in tertiary care center.
Observational study in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
backgroundLiver transplantation is a complex procedure associated with significant post-operative challenges. Monitoring the frequency and timing of Emergency Department (ED) visits post-transplant in a vulnerable population like pediatrics can provide critical insights into patient outcomes and the effectiveness of post-operative care.
objectiveThis study aims to evaluate the indications, frequency, reasons and length of stay for ED visits among liver transplant recipients within the first year following discharge post-transplantation.
methodsA retrospective observational study was conducted on 361 liver transplant recipients, analyzing the frequency, timing, indications, reasons and length of stay for their ED visits post-discharge over 10 years.
results361 patients were analyzed in this study with a total of 1300 emergency department visits. (52%) of the patients were males and (48%) were females. Most transplants were from living donors (93%, N = 338). Patients with at least one comorbidity accounted for 35% of total patients with hypertension 6% (20), congenital heart disease 5% (n = 18), and seizure disorder 4% (n = 15) representing the most common comorbidities. Most common indications for liver transplant were biliary atresia (21%) and progressive familiar intrahepatic cholestasis (20%). The most common reasons for ED visits were gastrointestinal symptoms (32%), pulmonary symptoms (22%), and infectious symptoms (16%). Patients' average length of stay in the hospital was 4 ± 10.7 days. Visits within the first 6 months accounted for 58% of total visits in the first year with first and second visits accounting for 47% of total emergency department visits.
conclusionThe study highlights the high frequency of emergency department visits in pediatric subgroup as well the first 6 months as a critical period for follow-up. The study also demonstrated the continuous representation to the emergency department which calls for a closer follow-up and interventions to prevent those revisits. CLINICAL TRIAL NUMBER: Not applicable.
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