Early Critical Care Course in Children after Liver Transplant
Joint Authors
Kukreti, Vinay
Daoud, Hani
Bola, Sundeep S.
Atkison, Paul
Kornecki, Alik
Singh, Ram N.
Source
Critical Care Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-25
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To review the critical care course of children receiving orthotopic liver transplantation (OLT).
Methods.
A retrospective chart review of patients admitted to the pediatric critical care following OLT performed in our center between 1988 and 2011.
Results.
A total of 149 transplants in 145 patients with a median age of 2.7 (IQR 0.9–7) years were analyzed.
Mortality in the first 28 days was 8%.
The median length of stay (LOS) was 7 (4.0–12.0) days.
The median length of mechanical ventilation (MV) was 3 (1.0–6.2) days.
Open abdomen, age, and oxygenation index on the 2nd day predicted LOS.
Open abdomen, age, amount of blood transfused during surgery, and PRISM III predicted length of MV.
28% of patients had infection and 24% developed acute rejection.
In recent group (2000–2011) OLT was performed in younger patients; the risk of infection and acute rejection was reduced and patients required longer LOS and MV compared with old group (1988–1999).
Conclusion.
The postoperative course of children after OLT is associated with multiple complications.
In recent years OLT was performed in younger children; living donors were more common; the rate of postoperative infection and suspected rejection was reduced significantly; however patients required longer MV and LOS in the PCCU.
American Psychological Association (APA)
Kukreti, Vinay& Daoud, Hani& Bola, Sundeep S.& Singh, Ram N.& Atkison, Paul& Kornecki, Alik. 2014. Early Critical Care Course in Children after Liver Transplant. Critical Care Research and Practice،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034632
Modern Language Association (MLA)
Kukreti, Vinay…[et al.]. Early Critical Care Course in Children after Liver Transplant. Critical Care Research and Practice No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1034632
American Medical Association (AMA)
Kukreti, Vinay& Daoud, Hani& Bola, Sundeep S.& Singh, Ram N.& Atkison, Paul& Kornecki, Alik. Early Critical Care Course in Children after Liver Transplant. Critical Care Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034632
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034632