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儿童肝移植受者的长期随访:新西兰转至成人医疗保健后的结局

Long-term follow up of paediatric liver transplant recipients: outcomes following transfer to adult healthcare in New Zealand.

作者信息

Harry R, Fraser-Irwin C, Mouat S, Gane E, Munn S, Evans H M

机构信息

New Zealand Liver Transplant Unit (NZLTU), Auckland City Hospital, Auckland, New Zealand.

Department of Paediatric Gastroenterology, Starship Hospital, Auckland, New Zealand.

出版信息

Intern Med J. 2015 May;45(5):580-2. doi: 10.1111/imj.12721.

Abstract

Poor outcomes are reported in young people with chronic health conditions. We performed a retrospective notes review of New Zealand paediatric liver transplant recipients transferred to adult services. Two patients were lost to follow up. Out of 20, 12 were non-adherent, and out of 12, 7 developed rejection. Other risk behaviours were common in the non-adherent group. We conclude that dedicated services for these young people may be needed to optimise outcomes.

摘要

据报道,患有慢性健康问题的年轻人预后较差。我们对转至成人服务机构的新西兰小儿肝移植受者进行了回顾性病历审查。两名患者失访。在20名患者中,12名不依从,在这12名患者中,7名发生了排斥反应。其他风险行为在不依从组中很常见。我们得出结论,可能需要为这些年轻人提供专门服务以优化预后。

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