The shortage of donor organs has increased the need for better selection of liver transplant candidates.
In this study, doctors from Brazil reviewed the results of 29 liver transplantations performed between 2002 and 2003.
The team analyzed early mortality, pre-transplant laboratory data, warm ischemia time, intra-operation blood unit transfusions, and post-operative complications.
|Early mortality occurred in 27%.|
The doctors found that early mortality occurred in 27% and fulminant hepatic failure in 44%. There were also 4 retransplants with 1 death, and 2 intraoperative deaths.
The team determined that pre-transplant bilirubin and post-operative lactate levels were related to patient survival.
Dr Medeiros and colleagues concluded, "In this small population bilirubin was more related to death than the MELD score".
"Lactate levels, nonspecific predictor of death in shock syndromes were probably related to septic complications".