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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.8
- 수록면
- 265 - 274 (10page)
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초록· 키워드
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Background: Liver transplantation (LT) is a complicated procedure with a high incidence of postoperative acute kidney injury (AKI).
Previous studies indicate that even transient or mild post-LT AKI can result in critical conditions, including prolonged stays in hospitals and intensive care units and increased morbidity and mortality. The aim of this study was to investigate the association between body mass index (BMI) and occurrence of AKI in LT recipients.
Methods: Medical data from 203 patients who received LT surgery from January 2010 to August 2016 in a single university hospital setting were retrospectively collected and analyzed. Patients were classified as either underweight (BMI <20 kg/m2) or normal weight (20 ≤ BMI < 30 kg/m2). Demographic data, anesthetic methods, complications, and perioperative laboratory test values of each patient were assessed. Propensity analyses and logistic regression were performed to evaluate the association between BMI and post-LT AKI.
Results: There was no significant difference in occurrence of post-LT AKI between underweight and normal weight patients. The underweight patient group had significantly longer hospital stay compared with the normal weight patient group (P = 0.023).
Conclusions: BMI classification was neither a positive nor negative predictor of postoperative AKI occurrence. However, patients with lower BMI had significantly longer hospital stay compared with their counterparts. Although our study was limited by its retrospective design, our observations suggest that lower BMI might play a role in post-LT AKI.
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등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Paramesh AS / 2004 / Post-liver transplant acute renal failure: factors predicting development of endstage renal disease / Clin Transplant 18:94~99
Bilbao I / 1998 / Risk factors for acute renal failure requiring dialysis after liver transplantation / Clin Transplant 12:123~129
Thakar CV. / 2013 / Perioperative acute kidney injury / Adv Chronic Kidney Dis 20:67~75
Gonwa TA / 1991 / Long-term survival and renal function following liver transplantation in patients with and without hepatorenal syndrome: experience in 300 patients / Transplantation 51:428~430
Johnson JP / 1997 / Acute renal failure in recipients of organ transplantation and nontransplantation patients:comparison of characteristics and mortality / Ren Fail 19:461~473
Bilbao I / 1998 / Risk factors for acute renal failure requiring dialysis after liver transplantation / Clin Transplant 12:123~129
Thakar CV. / 2013 / Perioperative acute kidney injury / Adv Chronic Kidney Dis 20:67~75
Gonwa TA / 1991 / Long-term survival and renal function following liver transplantation in patients with and without hepatorenal syndrome: experience in 300 patients / Transplantation 51:428~430
Johnson JP / 1997 / Acute renal failure in recipients of organ transplantation and nontransplantation patients:comparison of characteristics and mortality / Ren Fail 19:461~473
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