IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0174173.html
   My bibliography  Save this article

High MELD score and extended operating time predict prolonged initial ICU stay after liver transplantation and influence the outcome

Author

Listed:
  • Panagiota Stratigopoulou
  • Andreas Paul
  • Dieter P Hoyer
  • Stylianos Kykalos
  • Fuat H Saner
  • Georgios C Sotiropoulos

Abstract

Background: The aim of the present study is to determine the incidence of a prolonged (>3 days) initial ICU-stay after liver transplantation (LT) and to identify risk factors for it. Patients and methods: We retrospectively analyzed data of adult recipients who underwent deceased donor first-LT at the University Hospital Essen between 11/2003 and 07/2012 and showed a primary graft function. Results: Of the 374 recipients, 225 (60.16%) had prolonged ICU-stay. On univariate analysis, donor INR, high doses of vasopressors, “rescue-offer” grafts, being hospitalized at transplant, high urgency cases, labMELD, alcoholic cirrhosis, being on renal dialysis and length of surgery were associated with prolonged ICU-stay. After multivariate analysis, only the labMELD and the operation’s length were independently correlated with prolonged ICU-stay. Cut-off values for these variables were 19 and 293.5 min, respectively. Hospital stay was longer for patients with a prolonged initial ICU-stay (p

Suggested Citation

  • Panagiota Stratigopoulou & Andreas Paul & Dieter P Hoyer & Stylianos Kykalos & Fuat H Saner & Georgios C Sotiropoulos, 2017. "High MELD score and extended operating time predict prolonged initial ICU stay after liver transplantation and influence the outcome," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-16, March.
    • Handle: RePEc:plo:pone00:0174173
    DOI: 10.1371/journal.pone.0174173
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0174173
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0174173&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0174173?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0174173. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.