Early Allograft Dysfunction After Liver Transplantation Is Associated With Short- and Long-Term Kidney Function Impairment
American Journal of Transplantation, ISSN: 1600-6135, Vol: 16, Issue: 3, Page: 850-859
2016
- 77Citations
- 84Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations77
- Citation Indexes77
- 77
- CrossRef60
- Captures84
- Readers84
- 84
Article Description
Early allograft dysfunction (EAD) after liver transplantation (LT) is related to ischemia–reperfusion injury and may lead to a systemic inflammatory response and extrahepatic organ dysfunction. We evaluated the effect of EAD on new-onset acute kidney injury (AKI) requiring renal replacement therapy within the first month and end-stage renal disease (ESRD) within the first year post-LT in 1325 primary LT recipients. EAD developed in 358 (27%) of recipients. Seventy-one (5.6%) recipients developed AKI and 38 (2.9%) developed ESRD. Compared with those without EAD, recipients with EAD had a higher risk of AKI and ESRD (4% vs. 9% and 2% vs. 6%, respectively, p < 0.001 for both). Multivariate logistic regression analysis showed an independent relationship between EAD and AKI as well as ESRD (odds ratio 3.5, 95% confidence interval 1.9–6.4, and odds ratio 3.1, 95% confidence interval 11.9–91.2, respectively). Patients who experienced both EAD and AKI had inferior 1-, 3-, 5-, and 10-year patient and graft survival compared with those with either EAD or AKI alone, while those who had neither AKI nor EAD had the best outcomes (p < 0.001). Post-LT EAD is a risk factor for both AKI and ESRD and should be considered a target for future intervention to reduce post-LT short- and long-term renal dysfunction.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S1600613522006487; http://dx.doi.org/10.1111/ajt.13527; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84959541222&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/26663518; https://linkinghub.elsevier.com/retrieve/pii/S1600613522006487; https://dx.doi.org/10.1111/ajt.13527
Elsevier BV
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