Introduction Evidence suggests that immediate extubation after liver transplantation provides graft and economic benefits without compromising patient outcomes. This study tried to determine the incidence of immediate extubation, demonstrate related factors, and develop a predictive model from the significant factors. Methods This retrospective descriptive study included 240 out of 271 liver transplantation patients in the hospital liver transplant registry between 2004 and 2016. Extubated and non‐extubated groups were statistically compared. Results The incidence of immediate extubation was 32.1%. It was associated with a MELD score ≤ 25 (adjusted OR, 5.17; 95% CI, 1.64–16.24; p = .005); packed red cells (PRC) transfusion ≤1600 ml (adjusted OR, 3.45; 95% CI, 1.82–6.53; p < .001); and no requirement for post‐operative vasopressors (adjusted OR, 5.83; 95% CI, 2.30–14.77; p < .001). The immediate‐extubation group had fewer complications and shorter hospital stays. A Siriraj Liver transplant Extubation Score (SLES) of 5 yielded the best prediction of safe immediate extubation. Conclusions An incidence of 32.1% was found for immediate extubation following liver transplantation. Associated factors were a MELD score ≤ 25, a lower amount of transfused blood, and no requirement for post‐operative vasopressors. An SLES score of 5 predicted safe immediate extubation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.