Evidence map›Paper›PMID 40705850›Full record

ArticleAnnals of medicine2025

The evaluation of inflammatory and immune composite markers for complications after deceased donor liver transplantation - a retrospective cohort study.

Zhihong Zheng, Shuman Kuang, Zipei Wang, Jin Gu, Jichang Jiang, Zhou Yu, Lijin Zhao

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Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zhihong ZhengDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.ORCID 0009-0002-5686-6666
Shuman KuangDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.ORCID 0009-0003-6757-1457
Zipei WangDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.
Jin GuDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.
Jichang JiangDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.
Zhou YuDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.
Lijin ZhaoDepartment of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.ORCID 0000-0002-7741-5074

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammation-immune composite markers have been increasingly investigated in various diseases, but their value in the setting of deceased donor liver transplantation remains insufficiently investigate.

methodA retrospective cohort study was conducted on deceased donor liver transplant recipients at Zunyi Medical University. Univariate and multivariate logistic regression analyses identified independent risk factors for major complications. A nomogram was constructed based on these factors. Model performance was evaluated using ROC curve, calibration curve, decision curve analysis, and clinical impact curve.

resultsPreoperative factors such as donor age, MLR, Anhepatic, Total Cholesterol, CIT, CAR, Lactate, and SII were identified as independent risk factors for postoperative complications with CD ≥ III but < IV, as well as CD ≥ IV complications. The Nomogram based on these results demonstrated good predictive ability and stability in the Bootstrap validation.

conclusionPreoperative MLR and SII showed good predictive ability for postoperative complications graded as CD ≥ III but < IV, while CAR was predictive of CD ≥ IV complications and was associated with EAD and prolonged ICU stay. MLR was an independent risk factor for 90-day postoperative mortality. The nomogram of major outcomes requires further validation in multi-center studies.

Indexed as

InflammationLiver TransplantationPostoperative ComplicationsAdultBiomarkersFemaleHumansMaleMiddle AgedNomogramsRetrospective StudiesRisk FactorsROC CurveTissue DonorsBiomarkerscomposite markersearly allograft dysfunctionliver transplantationLiver transplantationpostoperative complicationspredictive model

Identifiers

PMID40705850
PMCPMC12291190

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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.