Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
May 24, 2012Liver International

Peri-transplant mortality was independently related to heart failure (OR 15.11, 95% CI 1.76-129.62), and long-term transplant-free mortality was independently related to baseline diastolic dysfunction (HR 4.82, 95% CI 1.78-13.06).

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does peri-transplant heart failure and left-ventricular diastolic dysfunction predict mortality and morbidity in cirrhotic patients undergoing liver transplantation?

Population

234 consecutive cirrhotic patients undergoing liver transplantation in a single European center from 1999 to…

Design

Cohort

Follow-up

mean 4 years (0.5-9 years)

Authors

AJAxel JosefssonSahlgrenska University HospitalMFMichael FuHeart Failure & TransplantPAPari AllayhariSahlgrenska University Hospital

Discussion

Loading...

Member takes

Overview

May support pre-transplant cardiac screening in cirrhosis; leaves open whether treating HF or diastolic dysfunction improves survival.

Structured PICO

Does peri-transplant heart failure and left-ventricular diastolic dysfunction predict mortality and morbidity in cirrhotic patients undergoing liver transplantation?

P
Population
234 consecutive cirrhotic patients undergoing liver transplantation in a single European center from 1999 to 2007 (mean age 52, 30% women, 36% with alcoholic liver disease, 24% with viral hepatitis, 18% cholestatic liver disease).
O
Outcome
Post-transplant morbidity and mortality (peri-transplant mortality and long-term transplant-free mortality)hard clinical

Peri-transplant heart failure and baseline diastolic dysfunction are independent predictors of mortality and morbidity in cirrhotic patients undergoing liver transplantation.

Cite This Study

Josefsson et al. (2012) studied this question.

synapsesocial.com/papers/6a712b2d2163a0a01bc556a7https://doi.org/10.1111/j.1478-3231.2012.02818.x
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Systolic heart failure after liver transplantation: Incidence, predictors, and outcome2018 · 36 citations
  2. 2Impact of left ventricular diastolic dysfunction on liver transplantation outcomes based on the latest American Society of Echocardiography/European Association of Cardiovascular Imaging recommendations2021 · 12 citations
  3. 3Diastolic Dysfunction in Patients With End-Stage Liver Disease is Associated With Development of Heart Failure Early After Liver Transplantation2012 · 104 citations
  4. 4Clinical predictors of post–liver transplant new-onset heart failure2013 · 69 citations
  5. 5Left ventricular diastolic dysfunction per the 2016 ASE criteria and mortality after liver transplant in patients with end stage liver disease: a Systematic Review and Metanalysis2023