Demiroz Duygu, Colak Yusuf Ziya, Ozdes Oya Olcay, Ucar Muharrem, Erdogan Mehmet Ali, Toprak Hüseyin Ilksen, Karakas Serdar, Tasolar Sevgi Demiroz, Aydın Cemalettin, Varol Ilknur
Department of Anesthesiology and Reanimation, School of Medicine, Inonu University, Malatya, Turkey.
Department of Anesthesiology and Reanimation, School of Medicine, Aydın University, Istanbul, Turkey.
Indian J Crit Care Med. 2024 Jan;28(1):75-79. doi: 10.5005/jp-journals-10071-24616.
Acute kidney injury (AKI) significantly contributes to the mortality and morbidity rates among pediatric liver transplant (LT) recipients.
Our study aimed to assess the potential factors contributing to AKI in pediatric LT patients and to analyze the impact of AKI on postoperative mortality and hospitalization duration.
About 235 pediatric LT patients under the age of 18 between the years 2015 and 2021 were evaluated retrospectively. The relationship between preoperative and intraoperative variables of the patients and AKI developed when the early postoperatıve period was assessed.
A correlation was found between the patients' preoperative age, albumin levels, and AKI. AKI was found to be associated with the duration of surgery and intraoperative blood transfusion.
Our findings revealed that the severity of AKI in pediatric LT patients is linked to extended surgical durations and increased blood transfusions resulting from hemodynamically compromised blood loss. Furthermore, independent risk factors for AKI were identified as prolonged warm ischemia and the overall duration of the operation.
Demiroz D, Colak YZ, Ozdes OO, Ucar M, Ali Erdogan M, Toprak HI, . Incidence and Risk Factors of Acute Kidney İnjury in Pediatric Liver Transplant Patients: A Retrospective Study. Indian J Crit Care Med 2024;28(1):75-79.
急性肾损伤（AKI）显著增加了小儿肝移植（LT）受者的死亡率和发病率。
我们的研究旨在评估小儿LT患者发生AKI的潜在因素，并分析AKI对术后死亡率和住院时间的影响。
回顾性评估了2015年至2021年间235例18岁以下的小儿LT患者。评估患者术前和术中变量与术后早期发生AKI之间的关系。
发现患者术前年龄、白蛋白水平与AKI之间存在相关性。发现AKI与手术时间和术中输血有关。
我们的研究结果表明，小儿LT患者AKI的严重程度与手术时间延长以及因血流动力学受损失血导致的输血增加有关。此外，AKI的独立危险因素被确定为长时间热缺血和手术总时长。
Demiroz D, Colak YZ, Ozdes OO, Ucar M, Ali Erdogan M, Toprak HI, . 小儿肝移植患者急性肾损伤的发生率及危险因素：一项回顾性研究。《印度重症监护医学杂志》2024；28(1):75 - 79。
