Impact of Early Positive Culture Results on the Short-term Outcomes of Liver Transplants / 대한이식학회지
The Journal of the Korean Society for Transplantation
; : 257-263, 2011.
Article
in Ko
| WPRIM
| ID: wpr-133166
Responsible library:
WPRO
ABSTRACT
BACKGROUND: Infection is a major cause of morbidity and mortality following liver transplants. We evaluated the risk factors of mortality within 1 month of liver transplantation caused by post-transplant infections. METHODS: We retrospectively reviewed the medical records of 199 patients who underwent liver transplants from September 2005 to August 2010. We divided the enrolled patients into 3 groups. The first group, the Culture(-) group, was defined as those who had no significant culture results. The second group, the Culture(+)/survival group, was defined as those who tested positive for culture but survived longer than 1 month after transplantation. The third group, the Culture(+)/mortality group, was defined as those who died within 1 month of the transplant with positive culture test results. RESULTS: The culture(+)/mortality group consisted of more deceased donor liver transplants than other groups. Also, the Culture(+)/mortality group showed more evidence of pre-transplant infections, intensive care unit (ICU) admission, continuous post-transplant renal replacement therapy (CRRT), and a higher MELD score than other groups. The risk factors of early mortality combined with infection 1 month after liver transplantation are hospitalization in ICU before transplantation (HR=16.3, CI=2.6~102.3, P=0.003) and the positive results of culture within 7 days of the operation (HR=38.7, CI=4.1~368.8, P=0.001). CONCLUSIONS: Hospitalization in ICU before transplantation and an early positive culture result can be an early clinical indicator of a good prognosis after liver transplantation.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Prognosis
/
Tissue Donors
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Liver Transplantation
/
Renal Replacement Therapy
/
Transplants
/
Hospitalization
/
Intensive Care Units
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Ko
Journal:
The Journal of the Korean Society for Transplantation
Year:
2011
Document type:
Article