A meta-analysis of complications following deceased donor liver transplant

被引：20
作者：
McElroy, Lisa M. [1 ,2 ]
Daud, Amna [2 ]
Davis, Ashley E. [2 ]
Lapin, Brittany [2 ]
Baker, Talia [2 ]
Abecassis, Michael M. [2 ]
Levitsky, Josh [2 ]
Holl, Jane L. [1 ]
Ladner, Daniela P. [1 ,2 ]
机构：
[1] Inst Publ Hlth & Med, Ctr Healthcare Studies, Chicago, IL USA
[2] NUTORC, Comprehens Transplant Ctr, Feinberg Sch Med, Chicago, IL 60611 USA
来源：
AMERICAN JOURNAL OF SURGERY | 2014年 / 208卷 / 04期
关键词：
Liver transplantation; Postoperative complications; Patient outcomes; Secondary analysis; ACUTE-RENAL-FAILURE; SINGLE-CENTER EXPERIENCE; SURGICAL SITE INFECTION; BILIARY-TRACT COMPLICATIONS; HEPATIC-ARTERY THROMBOSIS; ACUTE KIDNEY INJURY; RISK-FACTORS; CARDIAC DEATH; INCISIONAL HERNIA; CYTOMEGALOVIRUS-INFECTION;
D O I：
10.1016/j.amjsurg.2014.06.006
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BACKGROUND: Liver transplantation is a complex surgery associated with high rates of postoperative complications. While national outcomes data are available, national rates of most complications are unknown. DATA SOURCES: A systematic review of the literature reporting rates of postoperative complications between 2002 and 2012 was performed. A cohort of 29,227 deceased donor liver transplant recipients from 74 studies was used to calculate pooled incidences for 17 major postoperative complications. CONCLUSIONS: This is the first comprehensive review of postoperative complications after liver transplantation and can serve as a guide for transplant and nontransplant clinicians. Efforts to collect national data on complications, such as through the National Surgical Quality Improvement Program, would improve the ability to provide patients with informed consent, serve as a tool for individual center performance monitoring, and provide a central source against which to measure interventions aimed at improving patient care. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：605 / 618
页数：14
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