Early period intensive care follow-up after liver transplantation in children: a single center experience

Yıl: 2023 Cilt: 65 Sayı: 3 Sayfa Aralığı: 489 - 499 Metin Dili: İngilizce DOI: 10.24953/turkjped.2022.743 İndeks Tarihi: 12-07-2023

Early period intensive care follow-up after liver transplantation in children: a single center experience

Öz:
Background. Liver transplantation (LT) is a well-established, life-saving treatment for children with irreversible acute and chronic liver failure (LF). We aimed to evaluate the factors associated with morbidity and mortality in the early period of LT in children by reviewing our pediatric intensive care unit (PICU) experience. Methods. We reviewed children`s medical records followed in the PICU after LT between May 2015-August 2021, including demographic parameters, indications for LT, operative variables, respiratory and circulatory support requirements, LT-related complications and survival. Results. During this period, 40 pediatric patients who underwent LT were evaluated. LT was performed in 35 (87.5%) cases of chronic liver disease and 5 (12.5%) cases of acute liver failure. Twenty-four patients had chronic liver failure due to cholestatic liver disease. The patients` Pediatric Risk of Mortality (PRISM) III score was 18.82±SD (2-58) at PICU admission. 1-year survival was 87.5%, and overall survival was 85%. Younger age, low body weight, preoperative pediatric end-stage liver disease (PELD), and model for end-stage liver disease (MELD) values of 20 and higher were important risk factors for unfavorable outcomes after living donor liver transplantation (LDLT). These risk factors are both associated with technically more challenging vascular and bile duct reconstruction and higher complication rates, and increased mortality during the early period after LT. Conclusions. The early period of optimum PICU management in pediatric LT recipients is crucial for successful outcomes, which is also related to the patients` characteristics, disease severity scores, and surgical procedures.
Anahtar Kelime: liver transplantation pediatric intensive care children

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA botan e, Gün E, Akyuzluer Gunes M, Gurbanov A, ÖZEN H, Kuloglu Z, Tuna Kırsaçlıoğlu C, KIRIMKER E, Can o, Çiftçi E, Fitoz Ö, bingöl-koloğlu m, KANSU A, Balci D, KENDIRLI T (2023). Early period intensive care follow-up after liver transplantation in children: a single center experience. , 489 - 499. 10.24953/turkjped.2022.743
Chicago botan edin,Gün Emrah,Akyuzluer Gunes Merve Setenay,Gurbanov Anar,ÖZEN HASAN,Kuloglu Zarife,Tuna Kırsaçlıoğlu Ceyda,KIRIMKER ELVAN ONUR,Can ozlem selvi,Çiftçi Ergin,Fitoz Ömer Suat,bingöl-koloğlu meltem,KANSU AYDAN,Balci Deniz,KENDIRLI TANIL Early period intensive care follow-up after liver transplantation in children: a single center experience. (2023): 489 - 499. 10.24953/turkjped.2022.743
MLA botan edin,Gün Emrah,Akyuzluer Gunes Merve Setenay,Gurbanov Anar,ÖZEN HASAN,Kuloglu Zarife,Tuna Kırsaçlıoğlu Ceyda,KIRIMKER ELVAN ONUR,Can ozlem selvi,Çiftçi Ergin,Fitoz Ömer Suat,bingöl-koloğlu meltem,KANSU AYDAN,Balci Deniz,KENDIRLI TANIL Early period intensive care follow-up after liver transplantation in children: a single center experience. , 2023, ss.489 - 499. 10.24953/turkjped.2022.743
AMA botan e,Gün E,Akyuzluer Gunes M,Gurbanov A,ÖZEN H,Kuloglu Z,Tuna Kırsaçlıoğlu C,KIRIMKER E,Can o,Çiftçi E,Fitoz Ö,bingöl-koloğlu m,KANSU A,Balci D,KENDIRLI T Early period intensive care follow-up after liver transplantation in children: a single center experience. . 2023; 489 - 499. 10.24953/turkjped.2022.743
Vancouver botan e,Gün E,Akyuzluer Gunes M,Gurbanov A,ÖZEN H,Kuloglu Z,Tuna Kırsaçlıoğlu C,KIRIMKER E,Can o,Çiftçi E,Fitoz Ö,bingöl-koloğlu m,KANSU A,Balci D,KENDIRLI T Early period intensive care follow-up after liver transplantation in children: a single center experience. . 2023; 489 - 499. 10.24953/turkjped.2022.743
IEEE botan e,Gün E,Akyuzluer Gunes M,Gurbanov A,ÖZEN H,Kuloglu Z,Tuna Kırsaçlıoğlu C,KIRIMKER E,Can o,Çiftçi E,Fitoz Ö,bingöl-koloğlu m,KANSU A,Balci D,KENDIRLI T "Early period intensive care follow-up after liver transplantation in children: a single center experience." , ss.489 - 499, 2023. 10.24953/turkjped.2022.743
ISNAD botan, edin vd. "Early period intensive care follow-up after liver transplantation in children: a single center experience". (2023), 489-499. https://doi.org/10.24953/turkjped.2022.743
APA botan e, Gün E, Akyuzluer Gunes M, Gurbanov A, ÖZEN H, Kuloglu Z, Tuna Kırsaçlıoğlu C, KIRIMKER E, Can o, Çiftçi E, Fitoz Ö, bingöl-koloğlu m, KANSU A, Balci D, KENDIRLI T (2023). Early period intensive care follow-up after liver transplantation in children: a single center experience. Turkish Journal of Pediatrics, 65(3), 489 - 499. 10.24953/turkjped.2022.743
Chicago botan edin,Gün Emrah,Akyuzluer Gunes Merve Setenay,Gurbanov Anar,ÖZEN HASAN,Kuloglu Zarife,Tuna Kırsaçlıoğlu Ceyda,KIRIMKER ELVAN ONUR,Can ozlem selvi,Çiftçi Ergin,Fitoz Ömer Suat,bingöl-koloğlu meltem,KANSU AYDAN,Balci Deniz,KENDIRLI TANIL Early period intensive care follow-up after liver transplantation in children: a single center experience. Turkish Journal of Pediatrics 65, no.3 (2023): 489 - 499. 10.24953/turkjped.2022.743
MLA botan edin,Gün Emrah,Akyuzluer Gunes Merve Setenay,Gurbanov Anar,ÖZEN HASAN,Kuloglu Zarife,Tuna Kırsaçlıoğlu Ceyda,KIRIMKER ELVAN ONUR,Can ozlem selvi,Çiftçi Ergin,Fitoz Ömer Suat,bingöl-koloğlu meltem,KANSU AYDAN,Balci Deniz,KENDIRLI TANIL Early period intensive care follow-up after liver transplantation in children: a single center experience. Turkish Journal of Pediatrics, vol.65, no.3, 2023, ss.489 - 499. 10.24953/turkjped.2022.743
AMA botan e,Gün E,Akyuzluer Gunes M,Gurbanov A,ÖZEN H,Kuloglu Z,Tuna Kırsaçlıoğlu C,KIRIMKER E,Can o,Çiftçi E,Fitoz Ö,bingöl-koloğlu m,KANSU A,Balci D,KENDIRLI T Early period intensive care follow-up after liver transplantation in children: a single center experience. Turkish Journal of Pediatrics. 2023; 65(3): 489 - 499. 10.24953/turkjped.2022.743
Vancouver botan e,Gün E,Akyuzluer Gunes M,Gurbanov A,ÖZEN H,Kuloglu Z,Tuna Kırsaçlıoğlu C,KIRIMKER E,Can o,Çiftçi E,Fitoz Ö,bingöl-koloğlu m,KANSU A,Balci D,KENDIRLI T Early period intensive care follow-up after liver transplantation in children: a single center experience. Turkish Journal of Pediatrics. 2023; 65(3): 489 - 499. 10.24953/turkjped.2022.743
IEEE botan e,Gün E,Akyuzluer Gunes M,Gurbanov A,ÖZEN H,Kuloglu Z,Tuna Kırsaçlıoğlu C,KIRIMKER E,Can o,Çiftçi E,Fitoz Ö,bingöl-koloğlu m,KANSU A,Balci D,KENDIRLI T "Early period intensive care follow-up after liver transplantation in children: a single center experience." Turkish Journal of Pediatrics, 65, ss.489 - 499, 2023. 10.24953/turkjped.2022.743
ISNAD botan, edin vd. "Early period intensive care follow-up after liver transplantation in children: a single center experience". Turkish Journal of Pediatrics 65/3 (2023), 489-499. https://doi.org/10.24953/turkjped.2022.743