Transplante de fígado a partir de doadores em assistolia: resultados iniciais do grupo de transplante de fígado do Hospital Oswaldo Cruz, Universidade de Pernambuco

Lucena, Olival; Amorim, Américo Gusmão; Sabat, Bernardo David; Adeodato, Luiz; Miranda, Luíz Bruner de; Lacerda, Cláudio Moura

doi:10.1590/s0100-69912005000500010

Rev. Col. Bras. Cir.

2005

DOI: 10.1590/s0100-69912005000500010

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Transplante de fígado a partir de doadores em assistolia: resultados iniciais do grupo de transplante de fígado do Hospital Oswaldo Cruz, Universidade de Pernambuco

Olival Lucena¹,

Américo Gusmão Amorim²,

Bernardo David Sabat³

et al.

Abstract: OBJETIVO: Relatar a experiência inicial do Grupo de Transplante de Fígado do Hospital Universitário Oswaldo Cruz, Recife - PE, com doadores de fígado em assistolia. MÉTODO: Foram revistos os dados referentes a seis transplantes hepáticos, realizados entre outubro de 2002 e setembro de 2004, com órgãos obtidos de doadores em assistolia. RESULTADOS: Não houve disfunção primária do enxerto. Complicações biliares e vasculares não foram observadas. Todos os pacientes receberam alta hospitalar em boas condições clín… Show more

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2012

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Emprego do escore MELD para a predição da sobrevivência pós-transplante hepático

Batista¹,

Sabat²,

Melo³

et al. 2012

Rev. Col. Bras. Cir.

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. We used analysis of area under ROC (receiver operating characteristic) as a summary measure of the performance of the MELD score and assessed predictors of medium-term survival using univariate and multivariate analysis. Results Results ResultsResults Results: The cumulative survival of three, six, 12 and 24 months of the 208 patients studied was 85.1%, 79.3%, 74.5% and 71.1%, respectively. The preoperative MELD score showed a low discriminatory power for predicting survival after TH. By univariate analysis, we identified intraoperative transfusion of red blood cells (p <0.001) and platelets (p = 0.004) and type of venous hepatocaval anastomosis (p = 0.008) as significantly related to medium-term survival of the patients studied. However, by multivariate analysis only red blood cell transfusion was a significant independent predictor of outcome. Conclusion Conclusion Conclusion Conclusion Conclusion: The MELD score showed low overall accuracy for predicting post-transplant survival of patients studied, among which only intraoperative transfusion of red blood cells was identified as an independent predictor of survival in the medium term after TH.

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Emprego do escore MELD para a predição da sobrevivência pós-transplante hepático

Batista¹,

Sabat²,

Melo³

et al. 2012

Rev. Col. Bras. Cir.

Self Cite

View full text Add to dashboard Cite

show abstract

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Transplante de fígado a partir de doadores em assistolia: resultados iniciais do grupo de transplante de fígado do Hospital Oswaldo Cruz, Universidade de Pernambuco

Cited by 1 publication

References 11 publications

Emprego do escore MELD para a predição da sobrevivência pós-transplante hepático

Emprego do escore MELD para a predição da sobrevivência pós-transplante hepático

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