Home Bratislava Medical Journal 2018 Bratislava Medical Journal Vol.119, No.5, p.289-293, 2018

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.2

 

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Bratislava Medical Journal Vol.119, No.5, p.289-293, 2018

Title: The predictive value of risk indices for cardiac complications in living donor liver transplantation
Author: I. P. Canbolat, Y. Erdogan, G. Adali, O. Kaplan, M. Dayangac, Y. Yuzer, Y. Tokat

Abstract: BACKGROUND AND AIMS: The American College of Surgeons’ National Surgical Quality Improvement Program (NSQIP) risk tool and Revised Cardiac Risk Index (RCRI) are recommended tools for cardiovascular assessment before non-cardiac surgery to predict early postoperative cardiac morbidity and mortality. Their predictive value for postoperative cardiovascular morbidity and mortality after liver transplantation is unknown. We aimed to evaluate the validity of these two risk tools to predict early (30-day) cardiovascular complications and in-hospital all-cause mortality.
METHODS: Patients who underwent living donor liver transplantation were retrospectively analyzed. Consecutive 278 adult patients were included and their NSQIP and RCRI scores were calculated.
RESULTS: Cardiovascular morbidity occurred in 5 (1.8 %) patients. In-hospital all-cause mortality occurred in 18 (6.4 %) patients. None-of the patients died from cardiac complications. Causes of cardiac morbidity were as follows; acute coronary syndrome in 1 patient, intraoperative cardiac arrest with successful resuscitation in 1 patient, heart failure in 3 patients. Neither the NSQIP nor the RCRI score were associated with cardiovascular morbidity. Only RCRI medium-high score, DM and Nonalcoholic steatohepatitis as transplant indications were associated with in-hospital all-cause mortality (p = 0.001).
CONCLUSIONS: The NSQIP risk calculator and RCRI scores failed to accurately predict the risk of perioperative cardiac complications (Tab. 3, Ref. 30). Text in PDF www.elis.sk.

Keywords: preoperative cardiac assessment, cardiac morbidity, cardiac mortality, revised cardiac risk index, NSQIP risk index
Published online: 09-May-2018
Year: 2018, Volume: 119, Issue: 5 Page From: 289, Page To: 293
doi:10.4149/BLL_2018_054


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