دورية أكاديمية
Pulmonary complications and mortality after liver transplant.
| العنوان: | Pulmonary complications and mortality after liver transplant. |
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| المؤلفون: | Bozbas SS; Department of Pulmonary Medicine, Baskent University Faculty of Medicine, Ankara, Turkey. serifesb@gmail.com, Eyuboglu FO, Ozturk Ergur F, Gullu Arslan N, Sevmis S, Karakayali H, Haberal M |
| المصدر: | Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation [Exp Clin Transplant] 2008 Dec; Vol. 6 (4), pp. 264-70. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Bas̜kent University Country of Publication: Turkey NLM ID: 101207333 Publication Model: Print Cited Medium: Print ISSN: 1304-0855 (Print) Linking ISSN: 13040855 NLM ISO Abbreviation: Exp Clin Transplant Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Ankara] : Bas̜kent University, c2003- |
| مواضيع طبية MeSH: | Liver Transplantation/*adverse effects , Liver Transplantation/*mortality , Lung Diseases/*etiology , Lung Diseases/*mortality, Adult ; Cause of Death ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Pleural Effusion/etiology ; Pleural Effusion/mortality ; Pneumonia/etiology ; Pneumonia/mortality ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Smoking/adverse effects ; Time Factors |
| مستخلص: | Objectives: Pulmonary complications after liver transplant significantly affect mortality and morbidity; however, their relation has not been clearly established. We sought to determine pulmonary complications during the early and late term after liver transplant and identify risk factors for mortality. Materials and Methods: At our institution, 130 liver transplant patients (mean age, 40.1 -/+ 14.6 years; 71.1% male) were retrospectively evaluated, and 114 adult orthotopic liver transplant patients were included. Cause of liver disease, pulmonary function test results, arterial blood gas analyses, surgery duration, length of stay in the intensive care unit and the hospital, pulmonary complications, and mortality causes were noted. Results: Pulmonary complications were detected in 48 patients (42.1%), pneumonia in 24 patients (21.1%), and pleural effusion in 21 patients (18.4%). Development of pulmonary complications was found to be significantly related to survival (P = .001). Fifty-two patients (45.6%) were smokers, a significant predictor of pulmonary complications (P = .03). There was no relation between pulmonary function test results and orthodeoxia and pulmonary complications and mortality. Early and late survival rates were significantly lower in patients in whom a microorganism was isolated on deep tracheal aspirate culture, while early survival was significantly reduced in the presence of a pleural effusion (P < .005). Conclusions: Pulmonary complications after liver transplant are common. Care must be taken to determine preoperative risk factors, and patients should be observed closely for development of respiratory complications after liver transplant. |
| تواريخ الأحداث: | Date Created: 20090403 Date Completed: 20090423 Latest Revision: 20220318 |
| رمز التحديث: | 20231215 |
| PMID: | 19338487 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1304-0855 |
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