Hospitalization rates before and after adult-to-adult living donor or deceased donor liver transplantation.

Annals of Surgery
Robert M MerionA2ALL Study Group

Abstract

To compare rates of hospitalization before and after adult-to-adult living donor liver transplant (LDLT) and deceased donor liver transplant (DDLT). LDLT recipients have been reported to have lower mortality but a higher complication rate than DDLT recipients. The higher complication rate may be associated with greater consumption of inpatient hospital resources and a higher burden of disease for LDLT recipients. Data from the 9-center Adult-to-Adult Living Donor Liver Transplantation retrospective cohort study were analyzed to determine pretransplant, transplant, and posttransplant hospitalizations among LDLT candidates (potential living donor was evaluated) who received LDLT or DDLT. Hospital days and admission rates for LDLT and DDLT patients were calculated per patient-year at risk, starting from the date of initial potential donor history and physical examination. Rates were compared using overdispersed Poisson regression models. Among 806 candidates, 384 received LDLT and 215 received DDLT. In addition to the 599 transplants, there were 1913 recipient hospitalizations (485 pretransplant; 1428 posttransplant). Mean DDLT recipient pretransplant, transplant, and posttransplant lengths of stay were 5.8 +/- 6.3, 27.0 +/- 32.6,...Continue Reading

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Citations

May 6, 2011·Transplantation·David Seth GoldbergScott D Halpern
Oct 11, 2012·World Journal of Gastroenterology : WJG·Pei-Xian ChenWen-Tao Wang
Jul 16, 2014·Clinics in Liver Disease·James F Trotter
Oct 16, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·B SamsteinR M Merion
Dec 27, 2011·Gastroenterology·James F Trotter, James E Everhart
Aug 13, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·David GoldbergScott D Halpern
Jan 5, 2013·The British Journal of Surgery·S H Kim, Y K Kim
Sep 4, 2012·Transplant International : Official Journal of the European Society for Organ Transplantation·Cristiano QuintiniCharles Miller
Jan 31, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Ping WanQiang Xia
Jul 22, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Richard S HoehnShimul A Shah
Jan 16, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Toru IkegamiYoshihiko Maehara
Sep 16, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Michael D Leise
Oct 26, 2018·Annual Review of Medicine·Samir Abu-Gazala, Kim M Olthoff
Jan 7, 2015·World Journal of Gastroenterology : WJG·Seong Hoon KimSang-Jae Park
Mar 16, 2013·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Michael A ZimmermanRobert M Merion
Jul 25, 2015·World Journal of Hepatology·Priya SimoesJawad Ahmad
Aug 9, 2020·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Viniyendra PamechaNilesh Patil

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