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27 September 2022: Original Paper

Using Postoperative Coagulation Parameters Within 24 h After Liver Transplantation to Predict Incidence of Stage 3 Acute Kidney Injury (AKI)

Chen Chen 1BCD* , Xiaolan Chen 2BC* , Xianyuan Zhao 1D , Junqi Feng 1E , Yuan Gao 1E , Yuxiao Deng 1EF* , Zhe Li 1EF*

DOI: 10.12659/AOT.937535

Ann Transplant 2022; 27:e937535

Table 1 Demographic and pre-and intraoperative clinical data of the studied population (n=241).

GroupnAKI stage 0–2213AKI stage 328P value
Male (n, %)155 (72.8)20 (71.4)0.881
Age [mean±SD, y]50.7±10.952.5±11.80.508
AKI stage 3 requiring CRRT (n, %)0 (0)6 (21.4)
Etiology of liver transplantation
cirrhosis
Hepatitis B (n, %)40 (18.8)4 (14.3)0.556
PBC (n, %)13 (6.1)1 (3.6)0.590
Alcoholic (n, %)11 (5.2)0 (0)0.218
AIH (n, %)13 (6.1)3 (10.7)0.357
Other (n, %)12 (5.6)3 (10.7)0.296
Liver cancer (n, %)96 (45.1)10 (35.7)0.097
hepatic failure (n, %)39 (18.3)12 (43.9)0.003
Other (n, %)4 (1.8)0 (0)0.419
Ascites [ (, ), mL]200 (0, 1500)200 (0, 2000)0.893
MELD score [ (, )]13 (9, 21)17 (11, 32)0.006
Bleeding [ (, ), mL]500 (400, 800)800 (500, 1000)0.023
RBC suspension infusion [ (, ), u]4 (0, 8)8 (4,1 0)0.004
Plasma infusion [ (, ), mL]400 (0, 1000)850 (400, 1300)0.010
Hospital mortality (n, %)7 (3.3)12 (42.9)
AKI – acute kidney injury; CRRT – continuous renal replacement therapy; PBC – primary biliary cirrhosis; AIH – autoimmune hepatitis; MELD – model for end stage liver disease; RBC – red blood cell; ALT – alanine transaminase; AST – aspartate transaminase; TB – total bilirubin; INR – international normalized ratio; FDP – fibrinogen degradation products; HB – hemoglobin; PLT – platelet; Scr – creatinine.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358