Is There a Difference with Aged Grafts?

نویسندگان

چکیده

Introduction: Donors for liver transplantation are accepted beyond “optimal” due to grafts shortage. We aim analyze our results stratifying donors by age. Methods: Retrospective study: transplants from 2013 2018. Groups according donor's age: 1 (< 20); 2 (20 - 39), 3 (40 59) and 4 (> 60 years old). Statistical analysis with a significance level < 0,05. Results: n=265 transplants, Group 1:41, 2:77, 3:106 4:41. Most frequent death diagnosis were stroke (53%), prevalent in older donors, head injury (37%) younger ones (p< 0,001). 68% of had overweight or obesity, being higher groups (p=0,006). There no differences enzymes, sodium, use vasopressors, cardiac arrest. 91% splits Hepatorenal used only group Analyzing recipients livers patients (p=0,007). The mean cold ischemia time was longer (520 min), (477), (429) (410) No significant the enzymes peak, days hospitalization, morbidity mortality. weren´t cases primary graft failure 2, most (p=0,039). Graft survival overall did not yield results, though at 5 lower (p=0,053). Conclusion: suboptimal is feasible similar but an adequate selection recipient also essential.

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ژورنال

عنوان ژورنال: Hpb

سال: 2021

ISSN: ['1365-182X', '1477-2574']

DOI: https://doi.org/10.1016/j.hpb.2020.11.1071