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28 January 2025 : Original article  

Survival Analysis of Liver Transplants in Patients with Acute Liver Failure from Acetaminophen and Mushroom Toxicity

Emilia Kruk ORCID logo1ABCDEF*, Maciej Krasnodębski ORCID logo1ACDE, Paweł Rykowski ORCID logo1CDE, Wojciech Figiel ORCID logo1BE, Wacław Hołówko ORCID logo1BE, Joanna Raszeja-Wyszomirska ORCID logo2BE, Michał Grąt ORCID logo1BE

DOI: 10.12659/AOT.946485

Ann Transplant 2025; 30:e946485

Table 3 Association of selected factors with occurrence of graft loss.

FactorUnivariate analysisMultivariate analysis
OR (95% CI)p valueOR (95% CI)p value
poisoning1.729 (0.482–6.200)0.401
Acetaminophen poisoning0.579 (0.610–2.075)0.401
Sex (Female)0.625 (0.170–2.291)0.478
Age of recipient (years)1.011 (0.973–1.051)0.563
BMI1.026 (0.832–1.266)0.808
HGB (g/dl)1.041 (0.937–1.156)0.459
PLT count (10/uL)1.003 (0.993–1.013)0.582
BILI (mg/dL)1.103 (0.929–1.309)0.262
CREA (mg/dL)0.997 (0.729–1.365)0.987
ALB (g/dL) (lower concentration)3.823 (1.273–11.483)0.569
AST (U/L)* 0.993 (0.977–1.008)0.361
ALT (U/L) (lower activity)* 1.025 (1.003–1.048)0.708
LDH (U/L)0.983 (0.965–1.002)0.083
INR0.990 (0.774–1.266)0.937
MELD Score0.999 (0.929–1.075)0.982
Patient within King’s College Criteria1.920 (0.475–7.660)0.360
Renal failure requiring hemodialysis in perioperative period9.389 (1.924–45.805)10.912 (1.611–73.904)
Days on transplant waitlist2.182 (1.114–4.276)3.456 (1.170–10.208)
RBC units transfused intraoperatively1.308 (1.046–1.635)0.132
FFP units transfused intraoperatively1.239 (1.049–1.262)0.867
End-to-end vena cava anastomosis0.625 (0.170–2.291)0.478
Age of donor (years)0.989 (0.945–1.037)0.651
DRI (Feng et al)0.922 (0.079–10.823)0.949
Liver AB0 incompatible3.818 (0.813–17.928)0.090
CIT (hours)1.116 (0.790–1.576)0.534
ALB – albumin; ALT – alanine aminotransferase; AST – aspartate aminotransferase; BILI – bilirubin; BMI – body mass index; CI – confidence interval; CIT – cold ischemia time; CREA – creatinine; DRI – donor risk index; FFP – fresh frozen plasma; HGB – hemoglobin; INR – international normalized ratio; LDH – lactate dehydrogenase; MELD Score– Model for End-Stage Liver Disease Score; OR – odds ratio; PLT – platelet; RBC – red blood cell count.
* ALT and AST activity values were analyzed after division of the value by 100.

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