Evidence map›Paper›PMID 42058450›Full record

ArticleJournal of transplantation2026

Frailty and Early Extubation Independently Influence Postoperative Recovery Following Liver Transplantation-A Retrospective Cohort Study.

Ishan Antony, Noor Albusta, Zhibang Lin, Ryan Nazemian, Bartholomew J Kane, Ming Valerie Lin

Abstract read
In one paragraph

Article in Journal of transplantation, 2026. 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
–field-weighted citation impact
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.

  1. Article
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

6 authors.

Ishan AntonyDepartment of Internal Medicine, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA, lahey.org.ORCID https://orcid.org/0000-0002-4700-5314
Noor AlbustaDepartment of Internal Medicine, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA, lahey.org.ORCID https://orcid.org/0009-0003-1690-8064
Zhibang LinComparative Effectiveness Research Institute, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.ORCID https://orcid.org/0009-0005-2892-252X
Ryan NazemianDepartment of Anesthesiology, Perioperative and Pain Medicine, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA, lahey.org.ORCID https://orcid.org/0000-0002-9598-0085
Bartholomew J KaneDepartment of Surgery, Division of Hepatobiliary and Transplant Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA, lahey.org.
Ming Valerie LinDepartment of Surgery, Division of Hepatobiliary and Transplant Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA, lahey.org.ORCID https://orcid.org/0009-0008-8528-1572

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frailty and perioperative management critically influence outcomes following liver transplantation (LT). The liver frailty index (LFI) objectively assesses frailty, while early extubation (EE) has been linked to enhanced recovery in surgical patients. However, the associations of frailty and EE with postoperative outcomes in LT remain unclear. Methods: This retrospective cohort study included adult LT recipients at a tertiary care center between 1/2019 and 7/2023. Patients were classified as frail (LFI ≥ 4.5) or nonfrail (LFI < 4.5) and stratified by EE versus delayed extubation (DE). Primary outcomes were EE rate, ICU length of stay (LOS), and hospital LOS. Linear regression models adjusted for age, gender, BMI, MELD, transplant type, and liver disease etiology. Results: Of 158 postliver transplant patients, 38 (24.1%) were frail. Frail patients had longer ICU LOS (33.2 vs. 4.2 days, Conclusions: Our study demonstrated that EE significantly shortens ICU and hospital stays in postliver transplant patients with pretransplant frailty. These findings underscore the importance of incorporating EE protocols in this high-risk population and warrant further investigation into strategies that facilitate implementation to optimize clinical outcomes.

Indexed as

early extubationfrailtylength of stayliver transplantationrecovery

Identifiers

PMID42058450
PMCPMC13123446

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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.